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August 14, 1954


Author Affiliations

New York

From the Department of Surgery, New York University Post-Graduate Medical School and University Hospital.

JAMA. 1954;155(16):1406-1407. doi:10.1001/jama.1954.73690340004008a

Although preserved aortic homografts were successfully implanted in dogs almost 50 years ago, wide clinical application of this procedure has only recently been made; for the treatment of abdominal aortic aneurysms, it has been used by only a few surgeons in a small total number of cases. The major complications thus far reported have been thrombosis and rupture at the site of anastomosis.1 This is a report of a complication not previously recorded, namely, rupture of the wall of the graft not contiguous with the anastomosis, resulting in fatal retroperitoneal hemorrhage.

REPORT OF A CASE  A white man, aged 66 years, was admitted to University Hospital on Sept. 10, 1953. He had had bilateral intermittent claudication, radiating to the low back, for 10 years. Two months before admission he had had a two day episode of severe pain on the left side of the abdomen, and one week before

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