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Precise Diagnosis of Aortic Anastomotic Aneurysm by Computed Tomographic Scan

Precise Diagnosis of Aortic Anastomotic Aneurysm by Computed Tomographic Scan Abstract • False aneurysms that involve aortoprosthetic anastomoses may be difficult to diagnose prior to fatal rupture. We report a case in which a false aneurysm that developed six years after aortofemoral-graft insertion was accurately diagnosed by a computed tomographic (CT) scan after both ultrasonography and angiography had failed to make the diagnosis. The ability of CT scanning to demonstrate anastomotic aneurysms and accurately determine the presence of periaortic hemorrhage is discussed. (Arch Surg 1981;116:1209-1211) References 1. Thompson BW, Read RC, Campbell GS: Uninfected false aneurysm after arterial reconstruction with plastic grafts . Am J Surg 1979;138:920-923.Crossref 2. Richardson JV, McDowell HA Jr: Anastomotic aneurysms following arterial grafting . Ann Surg 1976;184:179-182.Crossref 3. Szilagyi DE, Smith RF, Elliot JP, et al: Anastomotic aneurysms after vascular reconstruction: Problems of incidence, etiology, and treatment . Surgery 1975;78:800-816. 4. Olsen WR, DeWeese MS, Sutton JP: False aneurysm of abdominal aorta . Arch Surg 1966;92:123-130.Crossref 5. Knox WG: Peripheral vascular anastomotic aneurysms . Ann Surg 1976;183:120-123.Crossref 6. Gardner TJ, Brawley RK, Gott VL: Anastomotic false aneurysms . Surgery 1972;72:474-478. 7. Usselman JA, Vint VC, Kleiman SA: CT diagnosis of aortic pseudoaneurysm causing vertebral erosion . AJR 1979;133:1177-1179.Crossref 8. Perrett LU, Sage MR: Computed tomography of abdominal aortic aneurysms . Aust NZ J Surg 1978;48:275-277.Crossref 9. Sagel SS, Siegel MJ, Stanely RJ, et al: Detection of retroperitoneal hemorrhage by computed tomography . AJR 1977;129:403-407.Crossref 10. Axelbaum SP, Schellinger D, Gomes MN, et al: Computed tomographic evaluation of aortic aneurysms . AJR 1976;127:75-78.Crossref 11. Carter BL, Wechsler RJ: Computed tomography of the retroperitoneum and abdominal wall . Semin Roentgenol 1978;13:201-211.Crossref 12. Gomes MN, Schellinger D, Hufnagel CA: Abdominal aortic aneurysms: Diagnostic review and new technique . Ann Thorac Surg 1979;27:479-488.Crossref 13. Pahira JJ, Wein AJ, Barker CF, et al: Bilateral complete ureteral obstruction secondary to an abdominal aortic aneurysm with perianeurysmal fibrosis: Diagnosis by computed tomography . J Urol 1979;121:103-106. 14. Rasking MM, Cunningham JB: Comparison of computed tomography and ultrasound for abdominal aortic aneurysms: A preliminary study . CT 1978;2:21-26. 15. Amendola MA, Tisnado J, Fields WR, et al: Evaluation of retroperitoneal hemorrhage by computed tomography before and after translumbar aortography . Radiology 1979;133:401-404.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Precise Diagnosis of Aortic Anastomotic Aneurysm by Computed Tomographic Scan

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Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1981.01380210077016
Publisher site
See Article on Publisher Site

Abstract

Abstract • False aneurysms that involve aortoprosthetic anastomoses may be difficult to diagnose prior to fatal rupture. We report a case in which a false aneurysm that developed six years after aortofemoral-graft insertion was accurately diagnosed by a computed tomographic (CT) scan after both ultrasonography and angiography had failed to make the diagnosis. The ability of CT scanning to demonstrate anastomotic aneurysms and accurately determine the presence of periaortic hemorrhage is discussed. (Arch Surg 1981;116:1209-1211) References 1. Thompson BW, Read RC, Campbell GS: Uninfected false aneurysm after arterial reconstruction with plastic grafts . Am J Surg 1979;138:920-923.Crossref 2. Richardson JV, McDowell HA Jr: Anastomotic aneurysms following arterial grafting . Ann Surg 1976;184:179-182.Crossref 3. Szilagyi DE, Smith RF, Elliot JP, et al: Anastomotic aneurysms after vascular reconstruction: Problems of incidence, etiology, and treatment . Surgery 1975;78:800-816. 4. Olsen WR, DeWeese MS, Sutton JP: False aneurysm of abdominal aorta . Arch Surg 1966;92:123-130.Crossref 5. Knox WG: Peripheral vascular anastomotic aneurysms . Ann Surg 1976;183:120-123.Crossref 6. Gardner TJ, Brawley RK, Gott VL: Anastomotic false aneurysms . Surgery 1972;72:474-478. 7. Usselman JA, Vint VC, Kleiman SA: CT diagnosis of aortic pseudoaneurysm causing vertebral erosion . AJR 1979;133:1177-1179.Crossref 8. Perrett LU, Sage MR: Computed tomography of abdominal aortic aneurysms . Aust NZ J Surg 1978;48:275-277.Crossref 9. Sagel SS, Siegel MJ, Stanely RJ, et al: Detection of retroperitoneal hemorrhage by computed tomography . AJR 1977;129:403-407.Crossref 10. Axelbaum SP, Schellinger D, Gomes MN, et al: Computed tomographic evaluation of aortic aneurysms . AJR 1976;127:75-78.Crossref 11. Carter BL, Wechsler RJ: Computed tomography of the retroperitoneum and abdominal wall . Semin Roentgenol 1978;13:201-211.Crossref 12. Gomes MN, Schellinger D, Hufnagel CA: Abdominal aortic aneurysms: Diagnostic review and new technique . Ann Thorac Surg 1979;27:479-488.Crossref 13. Pahira JJ, Wein AJ, Barker CF, et al: Bilateral complete ureteral obstruction secondary to an abdominal aortic aneurysm with perianeurysmal fibrosis: Diagnosis by computed tomography . J Urol 1979;121:103-106. 14. Rasking MM, Cunningham JB: Comparison of computed tomography and ultrasound for abdominal aortic aneurysms: A preliminary study . CT 1978;2:21-26. 15. Amendola MA, Tisnado J, Fields WR, et al: Evaluation of retroperitoneal hemorrhage by computed tomography before and after translumbar aortography . Radiology 1979;133:401-404.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1981

References