Delayed Perigraft Seroma of ePTFE after Extracorporeal Circulation / 日本心臓血管外科学会雑誌

ABSTRACT

A 66-year-old man underwent replacement of the ascending aortic arch for acute aortic dissection (Stanford type A). During surgery, an ePTFE synthetic graft was anastomosed to the left axillary artery to transmit blood from the extracorporeal circulation. During arch branch reconstruction, the left axillary artery was anastomosed end-to-end to a Dacron synthetic graft and the ePTFE synthetic graft used to transport blood, and the terminal anastomotic site of the ePTFE synthetic graft was used. At about 3 months postoperatively, a bulge was noted below the left clavicle, and it was diagnosed as seroma based on CT and aspiration biopsy findings. His condition did not improve despite repeated paracentesis and drainage. The ePTFE was resected and replaced with a Dacron synthetic graft, resulting in case of his seroma.