Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch
Introduction: A 45-year-old mailman underwent an implantation of a femoro-peroneal polytetrafluoroethylene (PTFE) bypass with a distal Taylor patch six years prior to admission after two failed autologous reconstructions and extensive fasciotomy. The initial pathology was an acute ischemia due to po...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015-01-01
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| Series: | EJVES Short Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S240565531500002X |
| _version_ | 1819128214035890176 |
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| author | Florian Enzmann Klaus Linni Thomas Hölzenbein |
| author_facet | Florian Enzmann Klaus Linni Thomas Hölzenbein |
| author_sort | Florian Enzmann |
| collection | DOAJ |
| description | Introduction: A 45-year-old mailman underwent an implantation of a femoro-peroneal polytetrafluoroethylene (PTFE) bypass with a distal Taylor patch six years prior to admission after two failed autologous reconstructions and extensive fasciotomy. The initial pathology was an acute ischemia due to popliteal entrapment with subsequent popliteal thrombectomy. Report: The patient was examined because of pain, reduction of walking distance and development of a palpable mass at the medial fasciotomy site. A 6-cm pseudoaneurysm with complete disruption of the suture line of the vein patch was discovered and resected. Arterial continuity with a vein interposition graft was established using non-reversed cephalic vein. Conclusion: The etiology of the aneurysm is not entirely clear. One may argue that the fourth revascularization could have been performed with an arm vein instead of a prosthetic graft with the probability of a better long term patency in a young patient. 15 months after the procedure the bypass is patent and the patient is without any symptoms. This complication of a Taylor patch has not been reported before. Keywords: Taylor patch, Pseudoaneurysm, Infrapopliteal bypass |
| first_indexed | 2024-12-22T08:24:15Z |
| format | Article |
| id | doaj.art-962c90a2cb8b477f82cc94c4ad096231 |
| institution | Directory Open Access Journal |
| issn | 2405-6553 |
| language | English |
| last_indexed | 2024-12-22T08:24:15Z |
| publishDate | 2015-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EJVES Short Reports |
| spelling | doaj.art-962c90a2cb8b477f82cc94c4ad0962312022-12-21T18:32:40ZengElsevierEJVES Short Reports2405-65532015-01-0128810Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patchFlorian Enzmann0Klaus Linni1Thomas Hölzenbein2Corresponding author. Department of Vascular and Endovascular Surgery, PMU Salzburg, Müllner Hauptstrasse 48, 5020 Salzburg, Austria. Tel.: +43 662 4482 3201; fax: +43 662 4482 3207.; Department of Vascular and Endovascular Surgery, PMU Salzburg, AustriaDepartment of Vascular and Endovascular Surgery, PMU Salzburg, AustriaDepartment of Vascular and Endovascular Surgery, PMU Salzburg, AustriaIntroduction: A 45-year-old mailman underwent an implantation of a femoro-peroneal polytetrafluoroethylene (PTFE) bypass with a distal Taylor patch six years prior to admission after two failed autologous reconstructions and extensive fasciotomy. The initial pathology was an acute ischemia due to popliteal entrapment with subsequent popliteal thrombectomy. Report: The patient was examined because of pain, reduction of walking distance and development of a palpable mass at the medial fasciotomy site. A 6-cm pseudoaneurysm with complete disruption of the suture line of the vein patch was discovered and resected. Arterial continuity with a vein interposition graft was established using non-reversed cephalic vein. Conclusion: The etiology of the aneurysm is not entirely clear. One may argue that the fourth revascularization could have been performed with an arm vein instead of a prosthetic graft with the probability of a better long term patency in a young patient. 15 months after the procedure the bypass is patent and the patient is without any symptoms. This complication of a Taylor patch has not been reported before. Keywords: Taylor patch, Pseudoaneurysm, Infrapopliteal bypasshttp://www.sciencedirect.com/science/article/pii/S240565531500002X |
| spellingShingle | Florian Enzmann Klaus Linni Thomas Hölzenbein Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch EJVES Short Reports |
| title | Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch |
| title_full | Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch |
| title_fullStr | Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch |
| title_full_unstemmed | Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch |
| title_short | Ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with Taylor patch |
| title_sort | ruptured peroneal aneurysm after infrapopliteal prosthetic bypass with taylor patch |
| url | http://www.sciencedirect.com/science/article/pii/S240565531500002X |
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