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PERIPROSTHETIC (PERIEXPLANT) REACTION AFTER RECONSTRUCTION OF THE AORTA AND ARTERIES (clinic, diagnostics and treatment)

https://doi.org/10.17802/2306-1278-2017-2-103-109

Abstract

A rare unpredictable serious complication is analyzed: paragraft reaction with formation of perigraft cysts and liquid round the synthetic vessel after reconstructive operations. The etiology and pathogenesis of this uncommon reaction remain unclear and disputable. Perigraft reaction often leads to complications: Infection of the perigraft liquid or cyst with formation of false aneurysms of anastomoses, graft infection with anglogenic sepsis, graft and reconstructed arteries thrombosis because ofextravasal compression, etc. Publications on this problem are scanty. We observed perigraft. reaction in 15 (0,4%) patients after reconstructive operations implanted various grafts. The etiology, pathogenesis, clinical characteristics, prevention, and treatment philosophy in such cases are discussed, based on published reports and our data.

About the Authors

R. A. Abdulgasanov
Federal State Budget Scientific Organization «Bakoulev Scientific Center of Cardiovascular Surgery»
Russian Federation


N. R. Gamzaev
Federal State Budget Scientific Organization «Bakoulev Scientific Center of Cardiovascular Surgery»
Russian Federation


M. R. Abdulgasanova
Federal State Budget Scientific Organization «Bakoulev Scientific Center of Cardiovascular Surgery»
Russian Federation


Y. R. Provotorova
Federal State Budget Scientific Organization «Bakoulev Scientific Center of Cardiovascular Surgery»
Russian Federation


E. V. Kuznetsova
Federal State Budget Scientific Organization «Bakoulev Scientific Center of Cardiovascular Surgery»
Russian Federation


M. R. Zakirov
Federal State Budget Scientific Organization «Bakoulev Scientific Center of Cardiovascular Surgery»
Russian Federation


A. V. Ivanov
Federal State Budget Scientific Organization «Bakoulev Scientific Center of Cardiovascular Surgery»
Russian Federation


M. R. Porsukova
Federal State Budgetary Educational Institution of Higher Education «Astrakhan State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation


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Review

For citations:


Abdulgasanov R.A., Gamzaev N.R., Abdulgasanova M.R., Provotorova Y.R., Kuznetsova E.V., Zakirov M.R., Ivanov A.V., Porsukova M.R. PERIPROSTHETIC (PERIEXPLANT) REACTION AFTER RECONSTRUCTION OF THE AORTA AND ARTERIES (clinic, diagnostics and treatment). Complex Issues of Cardiovascular Diseases. 2017;(2):103-109. (In Russ.) https://doi.org/10.17802/2306-1278-2017-2-103-109

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ISSN 2306-1278 (Print)
ISSN 2587-9537 (Online)