Author/Editor		Akay, Mehmet H.; Nabzdyk, Christoph S.; Gregorič, Igor; Frazier, O.H.
Title		Perigraft hemorrhage after abdominal aortic aneurysm repair in a heart transplant patient
Type		članek
Vol. and No.		Letnik 37, št. 5
Publication year		2010
Volume		str. 572-573
ISSN		0730-2347 - Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital
Language		eng
Abstract		Spontaneous perigraft hemorrhage can occur years after a successful aortic aneurysm repair. Such hemorrhage can result, in part, from inadequate graft healing. Herein, we describe the case of a heart transplant recipient who underwent an abdominal aortic aneurysm repair that was complicated by an acute perigraft leak 6 weeks later. Apparently, suppression of the patient's immune system impaired proper healing of the graft-aortic anastomosis site. In patients who have a compromised immune system, an additional 4-0 polypropylene pledgeted suture line should be placed for reinforcement during abdominal aortic aneurysm repair. Postoperatively, patients who are given immunosuppressive therapy should undergo careful, long-term monitoring.
Keywords		aortic aneurysm abdominal surgery anevrizma aorte trebuh kirurgija