Aortoduodenal fistula. Primary repair with saphenous vein patch graft.
A successful primary repair of a fistula between the proximal aortic suture line and duodenum was performed in a 47-year-old man with the use of a saphenous vein patch graft with omental interposition between the aortic repair and the duodenum. Massive local and parenteral antibiotics were given. The patient remains completely well 3 1/2 years later.
D001014:Aortic Aneurysm / Q000601:surgery; D001018:Aortic Diseases / Q000209:etiology / Q000601:surgery*; D004378:Duodenal Diseases / Q000209:etiology / Q000601:surgery*; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000637:transplantation*; D014182:Transplantation, Autologous