this is a case of a modified blalock-taussig shunt, which was complicated by perigraft transudative, fibrinous fluid accumulation and recurrence after surgical intervention. follow-up and expectant management of the patient was successful. our experience regarding this complication is presented.

BACKGROUND The presence of perigraft air is a common finding in the immediate post-operative phase following abdominal aortic aneurysm repair whilst the later appearance of air, in association with elevated inflammatory markers, is regarded as being indicative of the serious complication of graft infection. What is not known is at what timepoint following surgery does the perigraft air become a...

Perigraft seromas are uncommon after surgical repair of the thoracic aorta with woven polyester grafts. A 50-year-old woman required redo sternotomy for the treatment of a perigraft seroma 6 months after total arch replacement for acute type A dissection. After removal of a jelly-like mass, a prosthetic graft was covered with fibrin glue, and the bilateral pleurae beside the graft were opened w...

Among the possible complications of hemodialysis polytetrafluoroethylene (PTFE) graft creation, perigraft seromas are rare, but sometimes troublesome. Debridement with drainage is usually the method of treatment. However, recurrence is not unusual. Herein we describe 2 cases of recurrent perigraft seroma treated by a simple but effective surgical method: excision of the pseudocapsule and revisi...

PURPOSE To describe the endovascular treatment of intra-abdominal perigraft seromas associated with small-caliber expanded polytetrafluoroethylene (ePTFE) grafts. CASE REPORTS Two patients who underwent hybrid repair of thoracoabdominal aortic aneurysms in which renovisceral bypass grafts were implanted presented with large, symptomatic perigraft seromas. The 5- to 8-mm-diameter ePTFE bypass ...

Perigraft seroma is a rare complication of polytetrafluoroethylene grafts especially in the lower limb. It is often difficult to treat and recurrence is common. We present a case of a young woman who sustained a persistent perigraft seroma following a polytetrafluoroethylene graft in the proximal thigh, which was implanted as an alternative to an arteriovenous fistula. The cause was not ascerta...

Systemic-to-pulmonary artery shunts using polytetrafluoroethylene (PTFE) (modified Blalock-Taussig shunt) are being used successfully in palliation of cyanotic congenital heart diseases. Graft thrombosis is by far the most common complication of the procedure. Persistant serum leakage through PTFE graft causing perigraft seroma is a rare but devastating complication resulting in increased durat...

We report the case of young man with acute aortic dissection type A treated by Bentall operation. Postoperatively the patient was febrile and echocardiography revealed fluid collection around the aortic graft. Indicated surgery revealed sterile perigraft seroma which recurred after reoperation, Corticosteroids were therefore administered. Ten months after the Bentall operation the patient was t...