Gastrointestinal hemorrhage caused by secondary aorto-duodenal fistula: report of 5 cases.
Aorto-intestinal fistula is a late complication of reconstructive vascular operation, which is difficult to indentify. After the cessation of a massive, life-threatening bleeding, the best result can be expected from extraanatomical, axillobifemoral bypass. The authors treated 5 patients for fistula, developed following an aorto-bifemoral bypass. Diagnosis could be made before operation only in two of the cases. Axillo-bifemoral bypass was performed in 3 patients following the treatment of the fistula and the removal of the graft; 2 of their patients recovered.
Regös
J
J
Second Department of Surgery, Semmelweis University of Medicine, Budapest, Hungary.
Jámbor
G
G
Samu
T
T
Nagy
L
L
D000368:Aged; D001011:Aorta / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications*; D001366:Axillary Artery / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D004378:Duodenal Diseases / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005402:Fistula / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications*; D008297:Male; D008551:Melena / Q000209:etiology; D008875:Middle Aged