Late outcome following open surgical management of secondary aortoenteric fistula

Gábor Bíró, Gábor Szabó, Mátyás Fehérvári, Zoltán Münch, Zoltán Szeberin, G. Acsády

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: We reviewed the perioperative and long-term outcomes after the surgical management of secondary aortoenteric fistulas. Method: Over a 20-year period (1989-2009), 48 patients (33 men and 15 women; mean age, 64 years) were treated for secondary aortoenteric fistulas (SAEF). Most of the patients presented with symptoms of gastrointestinal bleeding (42 cases), or of serious septicaemia and general septic conditions (19 cases). Twenty-eight patients (58.3%) required an emergency procedure and were admitted with an unstable hemodynamic status. Repairs were accomplished by graft removal and an axillobifemoral bypass (n∈=∈11), in situ reconstruction with a silver-impregnated prosthetic replacement (n∈=∈21), a Dacron graft replacement (n∈=∈7), a cryopreserved homograft replacement (n∈=∈8) or an in situ deep vein replacement (n∈=∈2). Results: Early perioperative (

Original languageEnglish
Pages (from-to)1221-1229
Number of pages9
JournalLangenbeck's Archives of Surgery
Volume396
Issue number8
DOIs
Publication statusPublished - Dec 2011

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Fistula
Transplants
Polyethylene Terephthalates
Silver
Allografts
Veins
Sepsis
Emergencies
Hemodynamics
Hemorrhage

Keywords

  • Aortoduodenal fistula
  • Late follow-up
  • Partial graft removal
  • Silver-impregnated
  • Vascular graft infection

ASJC Scopus subject areas

  • Surgery

Cite this

Late outcome following open surgical management of secondary aortoenteric fistula. / Bíró, Gábor; Szabó, Gábor; Fehérvári, Mátyás; Münch, Zoltán; Szeberin, Zoltán; Acsády, G.

In: Langenbeck's Archives of Surgery, Vol. 396, No. 8, 12.2011, p. 1221-1229.

Research output: Contribution to journalArticle

Bíró, Gábor ; Szabó, Gábor ; Fehérvári, Mátyás ; Münch, Zoltán ; Szeberin, Zoltán ; Acsády, G. / Late outcome following open surgical management of secondary aortoenteric fistula. In: Langenbeck's Archives of Surgery. 2011 ; Vol. 396, No. 8. pp. 1221-1229.
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