Surgical policy in false aneurysm of proximal anastomosis secondary to reconstruction of aortofemoral segment

The results of surgical treatment of 10 patients with a false aneurysm of the proximal anastomosis are analyzed. An average time for development of a false aneurysm made up 57.2 months. Fluorlon-lavsan vascular woven prosthesis of Russian produce was used in primary reconstruction. Bacteriological examination of operation material was carried out in 9 patients. 8 cases revealed the growth: of Staph. aureus (4) epidermal staphylococcus flora (3) and Proteus vulg. (1). The authors suggest that surgical treatment of patients with false aneurysms of the proximal anastomosis should consist in resection of the aneurysms and revascularization of the extremities from the proximal segment of the aorta with partial or total removal of the old vascular prosthesis. The application of this method in 7 patients allowed to avoid the repeated development of false aneurysms during a mean follow up period of 4.1 years.