Aorto-duodenal fistula secondary to aortic graft replacement

2022 ◽  
pp. 1-2
Author(s):  
Morgan Vandermeulen ◽  
Dorian Verscheure ◽  
Laurent Genser
Keyword(s):  
Aortic Graft ◽  
Duodenal Fistula ◽  
Graft Replacement

Intrasternal Anastomotic Pseudoaneurysm Following Ascending Aortic Graft Replacement

2013 ◽  
Vol 28 (6) ◽  
pp. 745-746
Author(s):  
Haruhiko Akagi ◽  
Hiroshi Irie ◽  
Yoshihisa Nakao ◽  
Kei Sakai
Keyword(s):  
Aortic Graft ◽  
Graft Replacement ◽  
Anastomotic Pseudoaneurysm

PS01.111: STAGED PEDICLED JEJUNAL TRANSFER AFTER AORTOESOPHAGECTOMY FOR AORTOESOPHAGEAL FISTULA

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 81-81
Author(s):  
Tetsu Nakamura ◽  
Sonoko Ishida ◽  
Hiroshi Hasegawa ◽  
Masashi Yamamoto ◽  
Shingo Kanaji ◽  
...  
Keyword(s):  
Conflicts Of Interest ◽  
Graft Loss ◽  
Surgical Strategy ◽  
Esophageal Reconstruction ◽  
Study Patient ◽  
Aortoesophageal Fistula ◽  
Aortic Graft ◽  
Graft Replacement ◽  
Term Survival ◽  
Omental Wrapping

Abstract Background Aortoesophageal fistula(AEF) had been a critical and life-threatening disease. The surgical strategy which consist of aortic graft replacement with omental wrapping, esophagectomy, and staged esophageal reconstruction achieve circulatory recovery, infection control and long term survival. The objective of this study is to evaluate surgical outcomes of pedicled jejunal transfer with microvascular augmentation as esophageal reconstruction for AEF. Methods 14 patients with aortoesophageal fistula who underwent aortic graft replacement and esophagectomy between 2010 and 2017 at Kobe University Hospital and affiliate hospitals were enrolled in this study. Patient characteristics, operative method and clinical outcomes were obtained by retrospective chart review. Results All 14 patients underwent aortic graft replacement with omental wrapping, esophagectomy and staged esophageal reconstruction. 10 patients (71.4%) successfully underwent staged esophageal reconstruction of pedicled jejunal transfer with microvascular augmentation and showed no leakage and no graft loss. Median survival time in the patients who underwent esophageal reconstruction was 20.3 months from initial operation. Nine of 10 patients were alive but one patient died of sepsis ten months after esophageal reconstruction. Conclusion Aortic graft replacement with omental wrapping and esophaegcotomy play crucial role in the treatment of AEF. Omentum is pedicled by right epiploic artery and vein to prepare good blood flow and sufficient volume of omental wraping and, consequently, stomach without right epiploic artery and vein becomes inappropriate for esophageal conduit. Pedicled jejunal transfer with microvascular augmentation contributes good post-operative outcome. The surgical strategy for AEF, which includes aortic graft replacement with omental wrapping, esophagectomy, and staged esophageal reconstruction by pedicled jejunal transfer microvascular augmentation is feasible and promising. Disclosure All authors have declared no conflicts of interest.

Duodenal fistula—A rare complication following the removal of an infected aortic graft: Case report

1986 ◽  
Vol 9 (1) ◽  
pp. 33-36 ◽  
Author(s):  
C. Hannig ◽  
B. Allgayer ◽  
M. Risch ◽  
T. Holzmann ◽  
J. Dörrler ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Aortic Graft ◽  
Duodenal Fistula

scholarly journals Risk Factors for Mortality in Patients with Aortoesophageal Fistula Related to Aortic Lesions

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Shan Li ◽  
Feng Gao ◽  
Hai-ou Hu ◽  
Jin Shi ◽  
Jie Zhang
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Conservative Treatment ◽  
Hemorrhagic Shock ◽  
Multiorgan Failure ◽  
Diagnostic Methods ◽  
Cochrane Library ◽  
Aortoesophageal Fistula ◽  
Aortic Graft ◽  
Graft Replacement

Objective. Aortoesophageal fistula (AEF) related to aortic aneurysm and dissection is an uncommon but life-threatening condition. We performed a systematic review of risk factors for mortality and factors associated with the prognosis of AEF. Methods. A systematic search of the PubMed, Embase, and Cochrane Library databases was performed. Clinical characteristics, diagnostic methods, and treatments were assessed in terms of their ability to predict mortality. Results. The systematic review identified 184 eligible articles including 219 patients with AEF. Multivariable Cox regression revealed positive correlations of hemorrhagic shock (hazard ratio (HR): 1.824, 95% CI: 1.217-2.735, P=0.004), sepsis (HR: 1.714, 95% CI: 1.112-2.641, P=0.015), multiorgan failure (HR: 3.060, 95% CI: 1.470-6.368, P=0.003), and conservative treatment (HR: 5.257, 95% CI: 3.405-8.116, P<0.001) with mortality and a negative correlation between combination therapy (aortic graft replacement and esophagectomy) and mortality (HR: 0.319, 95% CI: 0.125-0.813, P=0.017). Kaplan–Meier survival analysis showed that the 1-year cumulative survival rate was 42.5±3.8%. The overall fistula-related mortality rate was 47.0% (103/219). The most common causes of death were bleeding (54.9%) and infection (29.2%). Conclusions. We found that hemorrhagic shock, sepsis, and multiorgan failure were risk factors for death in patients with AEF. Additionally, conservative treatment was associated with a higher rate of mortality, while combined aortic graft replacement and esophagectomy improved the prognosis.

Acute septic shock during pegylated-interferon and ribavirin therapy in a patient with chronic hepatitis C who underwent aortic graft replacement

2011 ◽  
Vol 4 (3) ◽  
pp. 179-183
Author(s):  
Yoshinao Kobayashi ◽  
Kohta Nishihama ◽  
Hidehiro Miyachi ◽  
Hideaki Tanaka ◽  
Norihiko Yamamoto ◽  
...  
Keyword(s):  
Septic Shock ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Chronic Hepatitis C ◽  
Pegylated Interferon ◽  
Aortic Graft ◽  
Graft Replacement
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