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Date Published: 26/04/2024
Online Published: 02/05/2024
Abstract Views: 925
Views PDF: 54
DOI: https://doi.org/10.47972/vjcts.v46i.1120
Issue
Vol. 46
Section
Research Article
How to Cite
Phan, D. K., Nguyen, T. K., Le, K. C., Nguyen, D. L. H., & Phan, Q. H. (2024). Secondary aorto-enteric fistula after aortic aneurysm repair. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 46, 31 - 38. https://doi.org/10.47972/vjcts.v46i.1120

Secondary aorto-enteric fistula after aortic aneurysm repair

Duy Kien Phan , Trung Kien Nguyen1, Kim Cao Le, Dinh Long Hai Nguyen, Quoc Hung Phan
1 Khoa Phẫu thuật Mạch Máu, Bệnh viện Chợ Rẫy

Main Article Content

Abstract

Overview: Secondary Aorto-enteric fistula (sAEF) is a serious complication after open abdominal aortic aneurysm (AAA) repair, diagnosis and treatment are the sacraments for a vascular surgeons.


Objectives: Describe the patient’s characteristics and treatment results of a series of clinical cases diagnosed with Secondary Aorto-enteric Fistula after surgery to open abdominal aortic aneurysm repair.. 


Methods: A clinical case series.


Results: Report on 3 clinical cases of Secondary Aorto-enteric Fistula admitted to the hospital due to gastrointestinal bleeding, underwent surgery to completely remove the graft infection, restore the intestinal fistula, perform extra-anatomic bypass (axillary-bifemoral), the results showed one patient died early postoperatively due to multiple organ failure, two patients had stable postoperative progress and were discharged.


Conclusions: Secondary Aorto-enteric Fistula is a rare complication, diagnosis and treatment are often very difficult, early surgery to remove the graft, performing extra-anatomic bypass is an effective method, helping to reduce the mortality rate.

Article Details

Keywords

Secondary Aorto-enteric fistula (sAEF), graft infection, open abdominal aortic aneurysm (AAA) repair

References

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