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Suture-Line Rupture of a Nylon Aortic Bifurcation Graft into the Small Bowel

HUBERT CLAYTOR, M.D.; LOUIS BIRCH, M.D.; EDWARD S. CARDWELL, M.D.; S. L. ZIMMERMAN, M.D.
AMA Arch Surg. 1956;73(6):947-950. doi:10.1001/archsurg.1956.01280060047010.
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Resection of massive abdominal aortic aneurysms and substitution of synthetic grafts, dramatic as it may be, is now a well established life-saving and life-prolonging procedure. The indications for such surgical intervention are not as yet clearly delineated. The ultimate fate of the graft is not known with certainty; however, sufficient time has now elapsed to conclude tentatively that the newer synthetic materials appear to be quite satisfactory. The technical difficulties in this reported case will be apparent as it is reviewed. The operative task was one of herculean proportions, and was successfully accomplished by Dr. Henry T. Bahnson, of The Johns Hopkins Hospital. Since the number of patients subjected to such surgical procedure is increasing and because of the puzzling diagnostic problem involved in this instance, it was believed that a report of an isolated occurrence of this type warranted dissemination.

Report of Case  A 66-year-old white man was admitted

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