Aortic aneurysm replacement with Dacron graft in a 34 year old man. How long will the graft last?

Abstract

A unique case of an abdominal aortic aneurysm replacement in a young man of Caribbean descent is presented. The initial working diagnosis was of a mycotic aneurysm, which has recently shown resurgence with intravenous drug abuse. Blood tests and subsequent biopsy ruled that out. There was also a clinical suspicion of a connective tissue abnormality. Histological examination of the aneurysm, skin biopsy, and blood tests also ruled out this possibility. The graft used in this patient was from a new generation of grafts. In the absence of any studies on such grafts, there is the question of long term durability of the graft.

Endovascular Treatment of Abdominal Aortic Aneurysm in a 26-Year-Old Man. A Case Report and 10-Year Follow-up

“…11 In addition, a long-term follow-up population-based study including 307 patients who underwent open AAA repair between 1957 and 1990 found that 9.4% of the patients developed a graft-related complication including rupture over 4 decades. 1 Recent data from the UK revealed that younger patients treated with EVAR may have similar rates of reinterventions when compared with OAR if evaluated after several years. 6 Therefore, it is evident that long-term reinterventions are seen after either type of repair.…”