Rupture of a Dacron aortic prosthesis into the jejunum.
A 55-year-old man was admitted to the hospital with massive melena and shock. He had a history of Dacron Y graft reconstruction for aortoiliac atheroscerotic occlusive disease 10 years before admission. At emergency laparotomy the jejunum was adherent to the graft. After separation a fistulous communication was detected between the two. A longitudinal tear in the stem of the graft was found. The graft was reconstructed with a Gore-Tex (Gore-Tex registered trademark of W.L. Gore & Associates, Inc., Elkton, Md.) patch. His postoperative course was uneventful.
Okita
Y
Y
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
Miki
S
S
Kusuhara
K
K
Ueda
Y
Y
Tahata
T
T
Yamanaka
K
K
D001011:Aorta; D001807:Blood Vessel Prosthesis; D004868:Equipment Failure; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure