Complications of Abdominal Aortic Surgery

Humphries, Alfred W.; Young, Jess R.; deWolfe, Victor G.; LeFevre, Fay A.

doi:10.1001/archsurg.1963.01310070045006

Cited by 77 publications

(15 citation statements)

References 8 publications

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“…In the remaining cases the fistulas were into the oesophagus, stomach, jejunum and in the rarest cases to the ileum or sygmoid colon [1,4,8,9,18,23]. There are no fistulas between the main arterial tree and the coecum mentioned in the literature, as in our 4th case.…”

Section: Discussionmentioning

confidence: 55%

“…The first case of an aorto-enteric fistula complicating a homograft of the aorta was published by Brock in 1953 [3], G arrf.i t [6] in his review makes the distinction between primary and secondary fistulas when aneurysmatic formation erodes the adherent gut or when the fistula appeared after surgery. In a review published by H u m ph ries in 1963 [9] there were 70 cases collected …”

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confidence: 99%

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Gastro-Intestinal Bleeding Due to Arterio-Enteric Fistula

Schramek¹,

Weisz²,

Erlik³

1971

Digestion

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This article deals with the problem of gastro-intestinal bleeding due to aorto-enteric fistulisation. Four such cases are presented, with connection to different parts of the gastro-intestinal tract, in the thorax and the abdomen. An until now unpublished localisation, that into the coecum, is presented. The description of the symptomatology and a survey of the literature are given. The importance of an existent time interval between the first and the fatal, last hemorrhage is emphasized, an interval thatallows life saving corrective aortic surgery.

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Section: Discussionmentioning

confidence: 55%

mentioning

confidence: 99%

Gastro-Intestinal Bleeding Due to Arterio-Enteric Fistula

Schramek¹,

Weisz²,

Erlik³

1971

Digestion

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“…In prosthetic grafts, the fistula involves the proximal suture line in 75% of cases and the distal suture line in 25%. Homografts tend to weaken in their bodies [11]. It had been generally accepted that bleeding from an aortoenteric fistula is massive and fatal in a few hours.…”

Section: Discussionmentioning

confidence: 99%

A complicated case of aortoduodenal fistula

Lautin

Friedman

1979

Gastrointest Radiol

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Aortoduodenal fistula may occur primarily as a complication of abdominal aortic aneurysm or secondarily after reconstructive surgery of the abdominal aorta. The clinical presentation may be occult, with the classic triad of mass, pain, and bleeding inapparent or overshadowed by signs of infection. A high index of clinical suspicion combined with radiographic and endoscopic examinations will establish the diagnosis.

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“…This study may not be indicated in a hemodynamically unstable patient because it carries the threat of dislodging a clot from the fistula and hence can hasten the demise of the patient [13,16,18,19,[44][45][46][47]. Immediate esophagogastroduodenoscopy is the diagnostic procedure of choice since it helps in excluding other causes of upper gastrointestinal hemorrhage.…”

Section: Literature Review and Commentmentioning

confidence: 99%