Treatment of Vascular Prosthesis Infection and Aorto-enteric Fistula as a Late Complication after Reconstructive Surgery of the Abdominal Aorta – A Case Report
Authors:
S. Wasiková; R. Staffa; Z. Kříž; P. Piskač
Authors‘ workplace:
II. chirurgická klinika, FN u sv. Anny v Brně, přednosta: doc. MUDr. Z. Gregor, CSc.
Published in:
Rozhl. Chir., 2007, roč. 86, č. 10, s. 522-524.
Category:
Monothematic special - Original
Overview
Vascular prosthesis infection is a serious diagnostic and therapeutic problem. Timely diagnosis and adequate treatment are essential for the patient’s future condition. We present a case report of a 60-year-old man with aortobifemoral prosthesis infection and with an aorto-duodenal fistula. The prosthesis infection was confirmed by fluorodeoxyglucose positron emission tomography. Urgent surgery was indicated due to massive gastrointestinal bleeding.
Because of lower limb ischaemia after removal of the infected bifurcation prosthesis, an implantation of an axillobifemoral bypass was performed in a one stage procedure. 8 months after the surgery, the patient is in good condition without walking limitation.
Key words:
aorto-enteric fistula – vascular prosthesis infection – FDG-PET – axillobifemoral bypass
Sources
1. Fukuchi, K., Ishida, Y., Higashi, M., Tsunekawa, T., Ogino, H., Minatoya, K., Kiso, K., Naito, H. Detection of aortic graft infection by fluorodeoxyglucose positron emission tomography: Comparison with computed tomographic findings. J. Vasc. Surg., 2005, Nov; 42(5): 919–925.
2. Štádler, P., Bělohlávek, O., Špaček, M., Michálek, P. Diagnosis of vascular prosthesis infection with FDG-PET/CT. J. Vasc. Surg., 2004; 40: 1246–1247.
3. Probst, A., Bittinger, M., Eberl, T., Jakob, R., Zinkl, K., Heiss, A., Eser, R., Häckel, T., Messmann, H. Aortoduodenal fistula as a cause of gastrointestinal bleeding – difficulties in endoscopic diagnosis. Zeitschrift für Gastroenterologie, 2006, Mar; 44(3): 239–244.
4. Limani, K., Place, B., Philippart, P., Dubail, D. Aortoduodenal fistula following aortobifemoral bypass. Acta Chir. Belg., 2005, Apr; 105(2): 207–209.
5. Armstrong, P., Back, M., Wilson, J., Shames, M., Johnson, B., Bandyk, D. Improved outcomes in the recent management of secondary aortoenteric fistula. J. Vasc. Surg., 2005, Oct; 42(4): 660–666.
6. Bliziotis, I. A., Kapaskelis, A. M., Kasiakou, S. K., Falagas, M. E. Limitations in the management of aortic graft infections. Ann. Vasc. Surg., 2006, Sep; 20(5): 669–671. Epub, 2006 ,May 27.
7. Oderich, G., Bower, T., Cherry, K., Panneton, J. Jr., Sullivan, T., Noel, A., Carmo, M., Cha, S., Kalra, M., Gloviczki, P. Evolution from axillofemoral to in situ prosthetic reconstruction for the treatment of aortic graft infections at a single center. J. Vasc. Surg., 2006, Jun; 43(6): 1166–1174.
8. da Gama, A. D., Rosa, A., do Carmo, G., Moura, C. The use of superficial femoral veins in reconstructive surgery of aortic prosthesis infection (Clagett‘s operation). Rev. Port Cir. Cardiotorac. Vasc., 2004, Apr-Jun; 11(2): 101–105.
9. D’Addio, V. J., Clagett, G. P. Surgical Treatment of the Infected Aortic Graft: Introduction. ACS Surgery Online. 2002; ©2002
10. Clagett, G. P., Valentine, R. J., Hagino, R. T. Autogenous aortoiliac/femoral reconstruction from superficial femoral-popliteal veins: feasibility and durability. J. Vasc. Surg., 1997, Feb; 25(2): 255–266; discussion 267–270.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2007 Issue 10
Most read in this issue
- Biliary Ileus – A Rare Complication of Cholecystolithiasis
- Surgical Treatment of Breast Cancer in the Masaryk Memorial Cancer Institute
- Endovascular Treatment of Carotid Artery Stenosis with Cerebral Protection: 5-year Experience
- The Role of Interstitial Brachytherapy in Multimodality Management of Solid Tumors