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Endovascular relining of a Dacron graft for refractory perigraft seroma

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Abstract

Although perigraft seroma (PGS) is a well-known complication of vascular surgery, optimal therapy has not yet been established. A 90-year-old patient underwent a bypass from the right subclavian artery to the left carotid and subclavian arteries for debranching thoracic endovascular aortic repair. Four years post-surgery, computed tomography revealed PGS at the anastomosis site. Percutaneous needle aspiration and surgical drainage were ineffective in treating PGS. We performed a relining procedure using covered stents for the bypass graft that resolved the PGS. This procedure is minimally invasive, avoids graft excision, and can be especially valuable for elderly patients.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kushiro-City General Hospital, 1-12 Shunkodai, Kushiro, 085-0822, Japan

    Shinji Abe, Yasuhiro Kamikubo, Ryo Matsumoto & Makoto Takahira

  2. Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan

    Yasushige Shingu

Authors
  1. Shinji Abe
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  2. Yasuhiro Kamikubo
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  3. Yasushige Shingu
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  4. Ryo Matsumoto
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  5. Makoto Takahira
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Correspondence to Shinji Abe.

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Abe, S., Kamikubo, Y., Shingu, Y. et al. Endovascular relining of a Dacron graft for refractory perigraft seroma. Gen Thorac Cardiovasc Surg 69, 340–342 (2021). https://doi.org/10.1007/s11748-020-01430-2

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  • DOI: https://doi.org/10.1007/s11748-020-01430-2

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