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Aortic graft--enteric fistula.

P Aarnio1, J Hannukainen

  • 1Department of Surgery, Satakunta Central Hospital, Pori, Finland.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1989
PubMed
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Aortic graft infection, a severe vascular surgery complication, can lead to aortoenteric fistula. Surgical removal of infected grafts and bypass procedures offer potential for patient survival.

Area of Science:

  • Vascular Surgery
  • Infectious Disease Management

Background:

  • Aortic graft infection is a life-threatening complication following vascular surgery.
  • Aortoenteric fistula is a rare but severe manifestation of aortic graft infection.

Observation:

  • This study reports on three cases of aortoenteric fistula secondary to infected aortic grafts.
  • Two patients required emergency surgery, while one had an elective procedure.
  • The surgical approach involved graft removal, aortic repair, and axillobifemoral bypass.

Findings:

  • Two patients survived long-term (2.5 years and 6 months post-surgery).
  • One patient experienced a fatal outcome 45 days postoperatively.
  • Successful management hinges on prompt surgical intervention.

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Implications:

  • This case series highlights the critical nature of aortic graft infections and the aortoenteric fistula.
  • Aggressive surgical management, including graft explantation and revascularization, can lead to favorable outcomes.
  • Further research into preventative strategies and optimized treatment protocols for aortic graft infections is warranted.