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Ann Thorac Surg 1985;39:271-274
© 1985 The Society of Thoracic Surgeons

Articles

Late False Aneurysm Following Replacement of Ascending Aorta: The Problem of the Teflon Graft in Combination with a Silk Suture Anastomosis

Walter H. Merrill, M.D., Stephen C. Achuff, M.D., Robert I. White, Jr., M.D., Richard S. Ross, M.D., Vincent L. Gott, M.D.*

From the Divisions of Cardiac Surgery, Cardiology, and Cardiovascular Radiology, The Johns Hopkins Medical Institutions, Baltimore, MD

Accepted for publication May 3, 1984.

* Address reprint requests to Dr. Gott, Cardiac Surgical Service, Department of Surgery, The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21205

Two patients underwent resection and replacement of the ascending aorta using a low-porosity Teflon graft anastomosed with silk suture. In both patients false aneurysms developed that required operation 13 and 23 years postoperatively. The clinical courses of these patients, along with data from the literature, suggest that the combination of a low-porosity Teflon graft and a silk suture anastomosis presents a major potential hazard for the development of anastomotic false aneurysm.




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