{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T17:06:21Z","timestamp":1789232781397,"version":"build-2803163510"},"reference-count":8,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background<\/jats:title>\n Non-anastomotic disruption of an axillofemoral bypass graft is an exceedingly rare but potentially life-threatening complication. Most reported cases present with a delayed pseudoaneurysm, whereas acute complete graft disruption with active hemorrhage is exceptional.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n A man in his late 50s with a history of a left axillobifemoral PTFE bypass performed in 2022 for chronic aorto-iliac occlusive disease presented to the emergency department with acute left thoracic and upper-limb pain and a rapidly developing pulsatile thoracic swelling following blunt chest trauma against the edge of a table. Computed tomography angiography demonstrated a large left anterior chest-wall hematoma communicating with the axillobifemoral graft and associated active bleeding. Emergency surgical exploration was undertaken. A complete transverse rupture of the graft was identified in the non-anastomotic portion, with no disruption of either the proximal or distal arterial anastomosis. The graft was repaired by direct end-to-end prosthesis-to-prosthesis anastomosis. The postoperative course was uneventful with preserved graft patency and good clinical outcome. A distal clavicular fracture was subsequently identified.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Complete non-anastomotic rupture of an axillobifemoral PTFE graft following blunt trauma is extremely uncommon but should be considered in patients with a previous axillofemoral bypass who develop acute chest-wall pain, swelling, or hemorrhage after trauma. Prompt CTA and emergency surgical management are essential because delayed diagnosis may result in life-threatening hemorrhage.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/2050313x261489336","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T07:02:35Z","timestamp":1788937355000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Complete non-anastomotic rupture of an axillobifemoral PTFE bypass following blunt chest trauma: A case report"],"prefix":"10.1177","volume":"14","author":[{"given":"Nour","family":"Kassab","sequence":"first","affiliation":[{"name":"H\u00f4pitaux Iris Sud"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alev","family":"G\u00fcm\u00fcs","sequence":"additional","affiliation":[{"name":"H\u00f4pitaux Iris Sud"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Livio","family":"Solari","sequence":"additional","affiliation":[{"name":"H\u00f4pitaux Iris Sud"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7oise","family":"Lefebvre","sequence":"additional","affiliation":[{"name":"H\u00f4pitaux Iris Sud"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1831-6500","authenticated-orcid":false,"given":"Gr\u00e9gory","family":"Callebaut","sequence":"additional","affiliation":[{"name":"H\u00f4pitaux Iris Sud"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.04.005"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2017.06.134"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvssr.2019.06.004"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574409352691"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-016-1149-3"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2020.06.014"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574412463972"}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X261489336","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X261489336","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X261489336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T16:16:33Z","timestamp":1789229793000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X261489336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"alternative-id":["10.1177\/2050313X261489336"],"URL":"https:\/\/doi.org\/10.1177\/2050313x261489336","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"2050313X261489336"}}