Document Detail


Late-term complication of endograft repair for aortoenteric fistula.
MedLine Citation:
PMID:  20484069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aortoenteric fistula is a devastating complication of aortic aneurysm repair. Traditional repair carries a high risk of mortality and significant morbidity. While endograft repair can be effective at mitigating the immediate life-threatening bleed, the temptation to consider endograft repair as definitive treatment should be resisted. We present a case of a 72 year old male who developed an aortoenteric fistula four years following surgical repair of a ruptured aortic aneurysm. Four years thereafter the patient developed infection of the graft and required extra-anatomic bypass and excision of the infected graft. Endograft repair of aortoenteric fistula is associated with persistent infection and should be viewed as a temporizing measure. Here we present the case and review the literature regarding the treatment and outcome of this condition.
Authors:
Burm Lee; David Gutherz Neschis
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-05-18
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-14     Completed Date:  2010-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  395-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / etiology,  radiography,  surgery*
Aneurysm, Infected / etiology*,  radiography,  surgery
Aortic Diseases / etiology,  radiography,  surgery*
Aortic Rupture / surgery*
Blood Vessel Prosthesis / adverse effects*
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation
Device Removal
Humans
Intestinal Fistula / etiology,  radiography,  surgery*
Male
Prosthesis-Related Infections / etiology*,  radiography,  surgery
Reoperation
Stents / adverse effects*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Fistula / etiology,  radiography,  surgery*
Vascular Surgical Procedures / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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