A Hybrid Technique to Manage a Large Perigraft Seroma after an Open Abdominal Aortic Aneurysm Repair: A Case Report

Shigeshi Ono; Hideaki Obara; Kazuki Hagiwara; Fumitaka Saida; Kentaro Oshiro; Kentaro Matsubara; Shintaro Shibutani; Yuko Kitagawa

doi:10.1016/j.avsg.2018.07.073

A Hybrid Technique to Manage a Large Perigraft Seroma after an Open Abdominal Aortic Aneurysm Repair: A Case Report

Shigeshi Ono, Hideaki Obara, Kazuki Hagiwara, Fumitaka Saida, Kentaro Oshiro, Kentaro Matsubara, Shintaro Shibutani, Yuko Kitagawa

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Perigraft seroma (PGS) is a relatively rare complication of aortoiliac reconstructive surgery. We, herein, describe a case of a large PGS that was managed by using a hybrid technique of relining the original graft with simultaneous open drainage. An 86-year-old man with a 17.3-cm diameter PGS after prosthetic bifurcated graft replacement for abdominal aortic aneurysm was admitted to our hospital. He presented with abdominal distension and discomfort and had difficulty in taking food. The entire relining of the original covered stent graft with GORE ^® EXCLUDER ^® using aortic extension cuff and iliac extenders and simultaneous open evacuation of PGS were successfully performed. The symptoms of the patient totally improved, and no recurrence was detected at 2 years after the operation. This technique would be a feasible treatment option for this rare complication.

Original language	English
Pages (from-to)	352.e1-352.e4
Journal	Annals of Vascular Surgery
Volume	56
DOIs	https://doi.org/10.1016/j.avsg.2018.07.073
Publication status	Published - 2019 Apr

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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title = "A Hybrid Technique to Manage a Large Perigraft Seroma after an Open Abdominal Aortic Aneurysm Repair: A Case Report",

abstract = " Perigraft seroma (PGS) is a relatively rare complication of aortoiliac reconstructive surgery. We, herein, describe a case of a large PGS that was managed by using a hybrid technique of relining the original graft with simultaneous open drainage. An 86-year-old man with a 17.3-cm diameter PGS after prosthetic bifurcated graft replacement for abdominal aortic aneurysm was admitted to our hospital. He presented with abdominal distension and discomfort and had difficulty in taking food. The entire relining of the original covered stent graft with GORE {\textregistered} EXCLUDER {\textregistered} using aortic extension cuff and iliac extenders and simultaneous open evacuation of PGS were successfully performed. The symptoms of the patient totally improved, and no recurrence was detected at 2 years after the operation. This technique would be a feasible treatment option for this rare complication.",

author = "Shigeshi Ono and Hideaki Obara and Kazuki Hagiwara and Fumitaka Saida and Kentaro Oshiro and Kentaro Matsubara and Shintaro Shibutani and Yuko Kitagawa",

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year = "2019",

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doi = "10.1016/j.avsg.2018.07.073",

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T1 - A Hybrid Technique to Manage a Large Perigraft Seroma after an Open Abdominal Aortic Aneurysm Repair

T2 - A Case Report

AU - Ono, Shigeshi

AU - Obara, Hideaki

AU - Hagiwara, Kazuki

AU - Saida, Fumitaka

AU - Oshiro, Kentaro

AU - Matsubara, Kentaro

AU - Shibutani, Shintaro

AU - Kitagawa, Yuko

PY - 2019/4

Y1 - 2019/4

N2 - Perigraft seroma (PGS) is a relatively rare complication of aortoiliac reconstructive surgery. We, herein, describe a case of a large PGS that was managed by using a hybrid technique of relining the original graft with simultaneous open drainage. An 86-year-old man with a 17.3-cm diameter PGS after prosthetic bifurcated graft replacement for abdominal aortic aneurysm was admitted to our hospital. He presented with abdominal distension and discomfort and had difficulty in taking food. The entire relining of the original covered stent graft with GORE ® EXCLUDER ® using aortic extension cuff and iliac extenders and simultaneous open evacuation of PGS were successfully performed. The symptoms of the patient totally improved, and no recurrence was detected at 2 years after the operation. This technique would be a feasible treatment option for this rare complication.

AB - Perigraft seroma (PGS) is a relatively rare complication of aortoiliac reconstructive surgery. We, herein, describe a case of a large PGS that was managed by using a hybrid technique of relining the original graft with simultaneous open drainage. An 86-year-old man with a 17.3-cm diameter PGS after prosthetic bifurcated graft replacement for abdominal aortic aneurysm was admitted to our hospital. He presented with abdominal distension and discomfort and had difficulty in taking food. The entire relining of the original covered stent graft with GORE ® EXCLUDER ® using aortic extension cuff and iliac extenders and simultaneous open evacuation of PGS were successfully performed. The symptoms of the patient totally improved, and no recurrence was detected at 2 years after the operation. This technique would be a feasible treatment option for this rare complication.

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JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

ER -

A Hybrid Technique to Manage a Large Perigraft Seroma after an Open Abdominal Aortic Aneurysm Repair: A Case Report

Abstract

ASJC Scopus subject areas

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