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Vascular prosthesis rupture caused by contact with rib stump after thoracic aorta replacement  Hiroshi Yamamoto, MD, Fumio Yamamoto, MD, Kazuyuki Ishibashi,

Published byΔεσποίνη Ζαφειρόπουλος Modified over 5 years ago

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Presentation on theme: "Vascular prosthesis rupture caused by contact with rib stump after thoracic aorta replacement  Hiroshi Yamamoto, MD, Fumio Yamamoto, MD, Kazuyuki Ishibashi,"— Presentation transcript:

1 Vascular prosthesis rupture caused by contact with rib stump after thoracic aorta replacement 
Hiroshi Yamamoto, MD, Fumio Yamamoto, MD, Kazuyuki Ishibashi, MD, Yasuharu Noishiki, MD  Journal of Vascular Surgery  Volume 50, Issue 1, Pages (July 2009) DOI: /j.jvs Copyright © 2009 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative computed tomographic scan shows pseudolumen enlargement of the dissecting descending aorta. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Computed tomographic scan on postoperative day 19 shows contact between graft (G) and rib stump is evident. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Emergency thoracotomy findings. A hole (white arrow) of approximately 6 mm in diameter is located on the dorsal (costal) side of vascular prosthesis. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Posterior aspect of thorax in autopsy. Posteriorly cut rib shows a stump (white arrow). Rupture hole was located at graft site corresponding to level of rib stump. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Electron microscopic examination of vascular prosthesis. Fabric (A) is frayed and fibers of woven polyester graft are disrupted (B). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

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