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Nylon tube를 利用한 大動脈 Prostheses

The Use of Nylon Tube as Aortic Prostheses

대한흉부외과학회지 1970년 3권 1호 p.47 ~ 54
尹允鎬, 金近鎬, 鄭永煥,
소속 상세정보
尹允鎬 (  ) - 全南大學校 醫科大學 胸部外科敎室
金近鎬 (  ) - 全南大學校 醫科大學 胸部外科敎室
鄭永煥 (  ) - 全南大學校 醫科大學 胸部外科敎室

Abstract


This is a report on two cases of aortic prostheses using Nylon tube. (Edwards-Tapp A-G Tube, Chemically treated braided Nylon arterial grafts). Especially, the complications after infection of synthetic graft are discussed with reviewing literature.
First case was the patient who came to our hospital with rupture of the right femoral artery at the femoral fossa due to pyogenic necrotic process. After femoral arterial prostheses, good pulsation of dorsal artery of foot was obtained. However, the tube was obstructed after 8 weeks postoperatively due to the complication of infection. In spite of the tube was removed because of obstruction and foreign body reaction of synthetic graft, an amputation of the leg was not necessary for formation of good collateral circulation.
Second case was a case of aortic aneurysmal rupture in thoraco-abdominal junction which developed by the trauma of rib resection for osteomyelitis of the left 12th. rib An implantation of aortic graft was performed at the lowest thoracic aorta by the way of thoraco-abdominal bypass without arterial pump. However, infection produced pyothorax in the left pleural cavity, exposing the tube within the pyothorax. The rupture of the anastomosed upper line occurred in 8 weeks postoperatively and the patient expired.

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