Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation

Complete disruption of an expanded polytetrafluoroethylene (ePTFE) vascular graft is rare. This is a report of a case of a 70 year old man presenting with left shoulder dislocation, which was reduced immediately. Two weeks later, the patient presented with Rutherford 2b bilateral lower limb ischaemi...

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Main Authors: Benoît Lucereau, Arielle Bellissard, Frédéric Beck, Delphine Dion, Frédéric Heim, Nabil Chakfe, Anne Lejay
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:EJVES Short Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2405655319300283
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spelling doaj-d95b3f9f4c964fb98c5a505cedb38b202020-11-25T01:21:19ZengElsevierEJVES Short Reports2405-65532019-01-01441518Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder DislocationBenoît Lucereau0Arielle Bellissard1Frédéric Beck2Delphine Dion3Frédéric Heim4Nabil Chakfe5Anne Lejay6Groupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire, France; Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, FranceGroupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire, France; Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, FranceDepartment of Vascular Surgery, Clinique du Tonkin, Villeurbanne, FranceGroupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire, FranceGroupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire, France; Laboratoire de Physique et Mécanique Textile, Université de Haute Alsace, Mulhouse, FranceGroupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire, France; Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, FranceGroupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire, France; Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, France; Corresponding author. Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, 1 place de l’hôpital, 67091 Strasbourg Cedex, France.Complete disruption of an expanded polytetrafluoroethylene (ePTFE) vascular graft is rare. This is a report of a case of a 70 year old man presenting with left shoulder dislocation, which was reduced immediately. Two weeks later, the patient presented with Rutherford 2b bilateral lower limb ischaemia related to the thrombosis of an ePTFE axillobifemoral bypass. The graft was implanted five years earlier for treatment of an aorto-enteric fistula secondary to an infected aortobifemoral bypass. A non-anastomotic pseudoaneurysm associated with complete disruption of the ePTFE graft was found. Systematic analysis of the explant showed that the rupture occurred at the level of a ringed external support and that ongoing tears also occurred on the posterior wall of the graft at the level of this external support. In conclusion, complete analysis of failure mechanisms even from an isolated report is mandatory. Keywords: Analysis, Polytetrafluoroethylene, Rupture, Shoulder dislocationhttp://www.sciencedirect.com/science/article/pii/S2405655319300283
collection DOAJ
language English
format Article
sources DOAJ
author Benoît Lucereau
Arielle Bellissard
Frédéric Beck
Delphine Dion
Frédéric Heim
Nabil Chakfe
Anne Lejay
spellingShingle Benoît Lucereau
Arielle Bellissard
Frédéric Beck
Delphine Dion
Frédéric Heim
Nabil Chakfe
Anne Lejay
Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation
EJVES Short Reports
author_facet Benoît Lucereau
Arielle Bellissard
Frédéric Beck
Delphine Dion
Frédéric Heim
Nabil Chakfe
Anne Lejay
author_sort Benoît Lucereau
title Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation
title_short Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation
title_full Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation
title_fullStr Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation
title_full_unstemmed Non-Anastomotic Complete ePTFE Axillobifemoral Bypass Disruption and Thrombosis Following Shoulder Dislocation
title_sort non-anastomotic complete eptfe axillobifemoral bypass disruption and thrombosis following shoulder dislocation
publisher Elsevier
series EJVES Short Reports
issn 2405-6553
publishDate 2019-01-01
description Complete disruption of an expanded polytetrafluoroethylene (ePTFE) vascular graft is rare. This is a report of a case of a 70 year old man presenting with left shoulder dislocation, which was reduced immediately. Two weeks later, the patient presented with Rutherford 2b bilateral lower limb ischaemia related to the thrombosis of an ePTFE axillobifemoral bypass. The graft was implanted five years earlier for treatment of an aorto-enteric fistula secondary to an infected aortobifemoral bypass. A non-anastomotic pseudoaneurysm associated with complete disruption of the ePTFE graft was found. Systematic analysis of the explant showed that the rupture occurred at the level of a ringed external support and that ongoing tears also occurred on the posterior wall of the graft at the level of this external support. In conclusion, complete analysis of failure mechanisms even from an isolated report is mandatory. Keywords: Analysis, Polytetrafluoroethylene, Rupture, Shoulder dislocation
url http://www.sciencedirect.com/science/article/pii/S2405655319300283
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