| A Case of Aortic Anastomotic
False Aneurysm Associated with a Graft-Duodenal Fistula |
(Department of Cardiovascular Surgery, Osaka National
Hospital, Osaka, Japan)
| Yasuyuki Sasaki |
Fumitaka Isobe |
Seiji Kinugasa |
| Keiji Iwata |
Kenu Fumimoto |
Yasuyuki Kato |
| Hideki Arimoto |
Hiroki Hata |
|
|
We report a case of successful surgical
treatment for an aortic anastomotic false aneurysm associated
with a graft-duodenal fistula after abdominal aortic aneurysm
repair. A 63-year-old man was admitted with melena and an aortic
anastomotic false aneurysm after prosthetic graft replacement
8 years previously. CT scan demonstrated an aneurysm with a maximum
diameter of 70 mm at the proximal anastomosis of the prosthetic
graft. Gastroduodenoscopy revealed no bleeding site in the stomach
or the first and second portions of the duodenum. Therefore,
we performed an emergency operation under a diagnosis of an aortic
anastomotic false aneurysm associated with a graft-duodenal fistula.
The aneurysm was replaced with interposition of a new prosthetic
graft via a thoracoabdominal approach. The fistula was
repaired by covering the duodenum with the jejunum through a
left pararectal laparotomy. The postoperative course was uneventful,
and there was no evidence of graft infection at 14 months after
the operation.
Jpn. J. Cardiovasc. Surg. 31：363-366 (2002) |
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