Two Successful Surgical Treatment
for Primary Aortoenteric Fistula |
(Department of Cardiovascular Surgery, Hiroshima
City Hospital, Hiroshima, Japan)
Masahiro Inoue |
Osamu Oba |
Takeshi Shichijyo |
Mikizo Nakai |
Sadahiko Arai |
Keiji Yunoki |
Noriyuki Tokunaga |
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Between January 1991 and December
1998, we performed two successful procedures to repair abdominal
aortic aneurysm with primary aortoenteric fistula. We had 197
surgical repair proceduers of aortic aneurysm during the same
period. Incidence of primary aortoenteric fistula in abdominal
aortic aneurysm was 1% in our institute. We performed primary
closure of the fistula and removal of the possibily infected
aneurysmal wall followed by anatomical grafting. We utilized
omental wrapping for prophylaxis of potential graft infection.
We achieved excellent surgical results in both patients by this
approach.
@Jpn. J. Cardiovasc. Surg. 30: 29-32 (2001) |
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