A Case of Aorto-Enteric Fistula
after Reconstruction for an Abdominal Aortic Aneurysm
Akiko Miyazaki
Maromi Tachibana
Masahiko Ikebuchi
Nagahisa Tonomoto
Shigetsugu Ohgi
(Second Department of Surgery, Faculty of Medicine,
Tottori University, Yonago, Japan)
A 63-year-old man was admitted because
of sudden hematemesis and melena. Seven years previously, he
had had a woven Dacron aorto-biiliac graft inserted for abdominal
aortic aneurysm. Aorto-enteric fistula was diagnosed based on
the clinical findings and enhanced computed tomography. It was
not clear whether the insected Y graft was infected. We first
reconstructed the axillo-bifemoral bypass and then removed the
Y graft. Good result can be obtained with prompt surgical intervention.@@
@Jpn. J. Cardiovasc. Surg. 31F191-193 (2002)