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The Bovine Pericardium – Salvage Option for a Late Complication

Published:October 11, 2022DOI:https://doi.org/10.1016/j.ejvs.2022.10.010
      Image 1
      A 59 year old man who underwent a below knee venous femoropopliteal bypass 16 years ago presented with a pulsatile suprapopliteal mass. Distal pulses were present. The contralateral great saphenous vein had been ablated previously. Duplex ultrasound showed a patent bypass with an above knee pseudoaneurysm with swirling flow, confirmed by computed tomography angiography (A, arrow). The pseudoaneurysm was resected and continuity restored by interposition of a tube graft manufactured from a bovine pericardial patch (B, arrow). The post-operative course was uneventful with distal pulses present at discharge.
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