[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
December 1973

Aortogastric and Aortoileal Fistulas Repaired by Direct Suture

Author Affiliations

Gainesville, Fla
From the University of Florida College of Medicine, Gainesville.

Arch Surg. 1973;107(6):909-911. doi:10.1001/archsurg.1973.01350240073021
Abstract

A 60-year-old patient underwent replacement of an abdominal aortic aneurysm and developed an aortoileal fistula at the distal anastomosis nearly five years later and an aortogastric fistula at the proximal anastomosis nearly ten years later. The occurrence of an aortogastric fistula complicating aortic graft has not been reported previously, to

the authors' knowledge. This is also possibly the first known instance of a patient having two fistulas between the aorta and the alimentary tract, both of which were successfully repaired following massive gastrointestinal hemorrhage. The use of the direct suture repair for such fistulas is encouraged in selected, noninfected patients.

References
1.
Humphries AW, et al:  Complications of abdominal aortic surgery: Part 1. Aortoenteric fistula . Arch Surg 86:43-59, 1963.Article
2.
Wierman WH, Strahan RW, Spencer JR:  Small bowel erosion by synthetic aortic grafts . Am J Surg 112:791-797, 1966.Article
3.
Tolstedt GE, Jesseph JE, Bell JW:  Late intestinal complications of abdominal aortic homografts . Surg Gynecol Obstet 116:42-44, 1963.
4.
Levy MJ, et al:  Aorticointestinal fistulas following surgery of the aorta . Surg Gynecol Obstet 120:992-996, 1965.
5.
Donovan TJ, Bucknam CA:  Aorto-enteric fistula . Arch Surg 95:810-820, 1967.Article
6.
Youmans CR Jr, Derrick JR:  Gastrointestinal erosion after prosthetic arterial reconstructive surgery . Am J Surg 114:711-715, 1967.Article
7.
Cohn R, Angell WW:  Late complications from plastic replacement of aortic abdominal aneurysms . Arch Surg 97:696-698, 1968.Article
8.
Schramek A, Weisz GM, Erlik D:  Gastro-intestinal bleeding due to arterio-enteric fistula . Digestion 4:103-108, 1971.Article
9.
Stoney RJ, Albo RJ, Wylie EJ:  False aneurysms occurring after arterial grafting operations . Am J Surg 110:153-161, 1965.Article
10.
DeBakey ME, et al:  The fate of Dacron vascular grafts . Arch Surg 89:757-782, 1964.
11.
Javid H, et al:  Complications of abdominal aortic grafts . Arch Surg 85:650-662, 1962.Article
12.
Mundth ED, et al:  Surgical management of mycotic aneurysms and the complications of infection in vascular reconstructive surgery . Am J Surg 117:460-470, 1969.Article
13.
Hesse FG, Kletschka HD:  Rupture of abdominal aortic aneurysm: Control of hemorrhage by intraluminal balloon tamponade . Ann Surg 155:320-322, 1962.Article
14.
Robicsek F, et al:  The value of angiography in the diagnosis of unruptured aneurysms of the abdominal aorta . Ann Thorac Surg 11:538-550, 1971.Article
×