Abstract The superiority of autologous saphenous vein grafts over synthetic prostheses in the surgical correction of femoral and popliteal artery occlusive disease is conceded by most surgeons. An alternate source of autologous graft material would thus appear to be most desirable for the occasional patient whose saphenous veins either have been excised previously or are in some way anatomically unsuitable for use in grafting. Autologous fascia lata femoris is readily obtainable and would appear to lend itself to this use. Fascia lata femoris has been used for many purposes in surgery including the repair of hernias1 and closure of chest wall defects following the Urban type of radical mastectomy.2 Several attempts to use rectus abdominis fascia for arterial grafting3,4,5 have proven unsuccessful, the fascial grafts being subject to aneurysmal dilatation and rupture. In contrast, Cousar and Lam6 used rectus abdominis fascia successfully in a relatively short-term experiment. References 1. Burton, C.C.: Fascia Lata, Cutis, and Tantalum Grafts in Repair of Massive Abdominal Incisional Hernias , Surg Gynec Obstet 109:621-628 ( (Nov) ) 1959. 2. Urban, J.A.: Extention of Radical Mastectomy to Include the Internal Mammary Lymph Node Chain , West J Surg 63:463-469 ( (July) ) 1955. 3. Holdefer, W.F.; Edwards, W.S.; and Dowling, E.R.: Autologous Rectus Fascia as an Arterial Replacement , Arch Surg 97:124-127 ( (July) ) 1968.Crossref 4. Kehne, J.D., and Sensenig, D.M.: Arterial Replacement With Rectus Fascia , Arch Surg 72:516-519 ( (March) ) 1956.Crossref 5. McReynolds, D.G.; Adams, J.T.; and DeWeese, J.A.: Autogenous Fresh and "Matured" Fascia as a Vascular Replacement , Ann Surg 166:95-101 ( (July) ) 1967.Crossref 6. Cousar, J.E., III, and Lam, C.R.: Rectus Sheath Grafts in Vascular Repair , Arch Surg 65:471-476 ( (Sept) ) 1952.Crossref 7. Sako, Y., and Varco, R.L.: Ten-year Observations on Autologous Pericardial and Venous Grafts in the Thoracic Aorta , Surgery 51:465-470 ( (April) ) 1962.
Archives of Surgery – American Medical Association
Published: Jun 1, 1969