Abstract
Peri-Graft Seroma (PGS) is a sterile, serous fluid collection confined around a prosthetic vascular graft in the original aneurysm sac...
Highlights
Peri-Graft Seroma (PGS) is a sterile, serous fluid collection confined around a prosthetic vascular graft in the original aneurysm sac [1,2,3]
Case Report: The authors experienced endovascular treatment of a peri-graft seroma that developed after open surgical repair of abdominal aortic aneurysm (AAA) with polytetrafluoroethylene (PTFE) graft
A 75-year-old man presented with growing aneurysm after open surgical repair of AAA with a PTFE bifurcated graft six years prior
Summary
Peri-Graft Seroma (PGS) is a sterile, serous fluid collection confined around a prosthetic vascular graft in the original aneurysm sac [1,2,3]. Seromas are rarely reported after open repair of abdominal aortic aneurysm (AAA) [4,5,6,7,8]. Relining within open aortic repair polytetrafluoroethylene (PTFE) bifurcated graft Six years prior to admission, the patient underwent open surgical repair of AAA with PTFE bifurcated graft (20 x 10 mm). Contrast enhanced computed tomography (CT) showed a huge peri-graft seroma measuring approximately 112 mm in the longest diameter It began at the extend infrarenal aorta, extended to the middle of both iliac arteries, and was confined to the graft site. At 6, 12, 24 months, and 30 months follow-ups, CT revealed no evidence of endoleak or flow disturbance and demonstrated decreased peri-graft seroma size of 76, 67, 61 mm and 59 mm gradually, respectively (Figure 3). PET scan shows no evidence of active infection at first admission
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