Abstract

ALMEIDA-LOPES, José et al. Secondary aorto-enteric fistulas: case report. Angiol Cir Vasc [online]. 2013, vol.9, n.2, pp.64-69. ISSN 1646-706X.

Secondary aorto-enteric fistulas are a rare but potentially fatal complication after abdominal aortic surgery and remain one of the most challenging vascular disease. The authors present a case report of a female patient with past history of aortic reconstruction surgery (aortobifemoral bypass, performed 6 years previously) for treatment of peripheral artery disease, that was admitted in our hospital with a gastrointestinal bleeding. The Dacron^® graft of the previous aortic procedure was visualized inside the 3^rd portion of the duodenum in an esophagogastroduodenoscopy. A successful axillobifemoral bypass, with segmental duodenectomy, duodenal-jejunal bypass and a partial removal of the aorto-bifemoral was performed. The complications included irreversible ischemia of the right limb followed by above the knee amputation and the patient was discharged after a long hospital stay.

Keywords : Secondary aorto-enteric fistula; Open repair; Gastrointestinal hemorrhage; Partial graft removal.

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