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August 1982

Successful Repair of Three Primary Aortoduodenal Fistulae

Author Affiliations

From the Department of Surgery, Ferrell-Duncan Clinic, Springfield, Mo. Dr Pfeiffer is currently a fellow in vascular surgery with the Eastern Virginia Medical School, Norfolk.

Arch Surg. 1982;117(8):1098-1099. doi:10.1001/archsurg.1982.01380320082021

• The successful surgical treatment of three patients with primary aortoduodenal fistulae was achieved in a retrospective analysis. The treatment of this rare disorder included primary duodenal closure, resection of the atherosclerotic aneurysm, and placement of a Dacron graft. A review of the literature demonstrated only 18 survivors with this surgical problem. These three additional cases emphasize that primary dudodenal repair and Dacron graft replacement of the aneurysm may be performed instead of an extra-anatomic bypass.

(Arch Surg 1982;117:1098-1099)