June 1974

Dacron Aortic Graft Failure

Author Affiliations

Wenatchee, Wash

Arch Surg. 1974;108(6):880. doi:10.1001/archsurg.1974.01350300110030

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To the Editor.—I read with interest the article "Dacron Aortic Graft Failure" by Cooke et al in the January Archives (108:101, 1974). In August 1969, a woven Dacron bifurcation graft was placed in a 69-year-old white woman with aortoiliac occlusive disease. The patient recently was found to have a small aneurysm in the right side of her groin. At surgery, a typical small false aneurysm was encountered, with the intact suture line having partially pulled away from the host vessel. The graft otherwise appeared normal. The distal graft was excised and a new short segment prepared to suture to the old graft. At this point, I was distressed to find the needle pulling through the graft material, much as it would pull through necrotic tissue. The host graft was shortened, and again the suture could be easily pulled through the material. Ultimately, anastomosis was made by passing the suture

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