Aneurysm of Aortic Homograft with Rupture into the Duodenum

MacKENZIE, Ronald J.; Buell, Arthur H.; Pearson, Seibert C.

doi:10.1001/archsurg.1958.01290050135025

Cited by 25 publications

(14 citation statements)

References 7 publications

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“…Brock [4] first described the presence of a fistula between an aortic graft and the duodenum in 1953, where as the first SAEF surgical repair was carried out by Mackenzie [5] in 1958. SAEF are very rare, accounting for less than 1% of the complications related to aortic surgery with prosthetic material.…”

Section: Discussionmentioning

confidence: 99%

In situ reconstruction with autologous graft in the treatment of secondary aortoenteric fistulas: A retrospective case series

Feo

Ginesu

Pinna

et al. 2020

Annals of Medicine &Amp; Surgery

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Infections caused by secondary aortoenteric fistulas (SAEF) may be extremely complex and threaten patient's life. We report our surgical approach to SAEF consisting in removal of the infected graft and in situ reconstruction using an autologous venous graft.Seven consecutive patients with SAEF treated with graft removal and in situ reconstruction using an autologous venous graft from 2008 to 2017 were reviewed. Six of seven patients (86%) survived 30-day. In one case a graft thrombosis and acute lower limb ischemia occurred requiring re-operations. All patients received injective antibiotic therapy for 20 days, followed by oral therapy for 3 months. There were no major complications at long-term follow-up.Our results suggest that superficial femoral vein reconstruction of the abdominal aorta for SAEF is effective with an acceptable in-hospital mortality and low rate of major complications. We stress the importance of the deep femoral veins to create the graft because the large saphenous vein is often affected by significant intimal hyperplasia that can cause steno-occlusive complications.

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Section: Discussionmentioning

confidence: 99%

In situ reconstruction with autologous graft in the treatment of secondary aortoenteric fistulas: A retrospective case series

Feo

Ginesu

Pinna

et al. 2020

Annals of Medicine &Amp; Surgery

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“…An aortoenteric fistula between the intestine and the aortic prosthesis was first described in 1956 (Claytor et al) [17]. In 1958, McKenzie et al demonstrated the first successful repair of a secondary aortoenteric fistula between a synthetic graft and the intestine [18]. Secondary aortoenteric fistula is a rare, but potentially fatal late complication following the implementation of an aortic prosthesis.…”

Section: Discussionmentioning

confidence: 99%

Secondary Aortoenteric Fistula After Abdominal Aortic Graft Implementation in Our Own Material

Gnus¹,

Ferenc²,

Kościelna³

et al. 2016

Adv Clin Exp Med

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“…Aortoenteric fistula following replacement of an abdominal aortic aneurysm with a synthetic prosthesis was first described by Claytor et al 1 in 1956. Two years later MacKenzie et al 8 repaired a secondary fistula that had resulted from a degenerated homograft by replacing it with a nylon prosthesis.…”

Section: Discussionmentioning

confidence: 99%