PMID: 6984649Dec 1, 1982Paper

Aortointestinal fistulae following aortic reconstruction

The Australian and New Zealand Journal of Surgery
G J Kourtesis, M Stephen

Abstract

Six patients with aortointestinal fistula have been treated at Royal Prince Alfred Hospital (RPAH) over the last decade. Four had their initial vascular reconstruction at RPAH and two were referred. This represents an incidence of 0.8% following aortic reconstruction at this hospital. All presented with gastrointestinal bleeding (GIT) and two also had infective complications. Preoperative investigations were helpful in only half the patients. Three died as a direct result of the aortointestinal fistula. Later complications occurred in two of three patients where the graft was not removed. The most important aspect of management is suspicion of aortointestinal fistula as a cause for GIT bleeding in a patient with previous aortic surgery. Effective surgical management requires removal of the graft and early revascularization.

References

Aug 1, 1978·American Journal of Surgery·G M GraeberW R Webb
Sep 1, 1977·Vascular Surgery·D C JacksonI S Johnsrude
Nov 1, 1969·The British Journal of Surgery·A G SheilJ Loewenthal
Nov 1, 1966·American Journal of Surgery·W H WiermanJ R Spencer

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Citations

Jan 1, 1985·The Journal of Emergency Medicine·K B Curran, T MacMath
Nov 14, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D Bergqvist, M Björck

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