Multifaceted surgical approach of combined thoracoretroperitoneal incision and midline abdominal incision for a secondary aortoenteric fistula.
J Cardiothorac Surg
; 19(1): 29, 2024 Jan 28.
Article
en En
| MEDLINE
| ID: mdl-38281961
ABSTRACT
BACKGROUND:
We report a one-stage surgery to the case of secondary aortoenteric fistula (sAEF) after prosthetic reconstruction of abdominal aortic aneurysm, by multifaceted approach. CASE PRESENTATION A 63-year-old male was admitted to our unit under diagnosed of sAEF after prosthetic reconstruction of abdominal aortic aneurysm, and a pseudoaneurysm of thoracoabdominal aorta due to infection. The patient underwent emergency operation. Firstly, we placed the patient in a modified right lateral decubitus position and performed thoracoabdominal aortic replacement with retroperitoneal approach by thoracoretroperitoneal incision which combined thoracotomy and pararectal incision, and secondly, we changed to a supine position and performed closure of the duodenal fistula and omental flap transposition by midline abdominal incision. The patient was doing well without complications.CONCLUSIONS:
A one-stage, multifaceted surgical approach covering both prosthetic reconstruction of thoracoabdominal aorta and closure of sAEF with omentopexy is reasonable and useful strategy.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades de la Aorta
/
Fístula Vascular
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Fístula Intestinal
/
Aneurisma de la Aorta Abdominal
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Implantación de Prótesis Vascular
/
Enfermedades Duodenales
/
Herida Quirúrgica
Tipo de estudio:
Etiology_studies
Límite:
Humans
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Male
/
Middle aged
Idioma:
En
Año:
2024
Tipo del documento:
Article