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Aorto-enteric fistula is a serious complication to aortic surgery. Modern trends in diagnosis and therapy

Published in Cardiovascular surgery. 2003, vol. 11, no. 3, p. 185-8
Abstract Secondary aorto-enteric fistula (AEF) is a serious, but rare, complication following surgery of the abdominal aorta. AEF occurs in 0.3-2%, but is associated with a hospital mortality between 25-90%. It is also associated with an important morbidity with a lower limb amputation rate of 9%, and a 15% risk for renewed graft infection. Nine secondary AEF were surgically treated. The hospital mortality was high,44% (4/9). Recurrent AEF was observed in 1 patient 2 years after the first operation. During follow-up 2 patients had mild infections which were resolved by antibiotic treatment. Diagnostic modalities, and recent advancements in surgical treatment as well as preventive measures are discussed.
Keywords AgedAnastomosis, SurgicalAorta, Abdominal/surgeryAortic Diseases/diagnosis/mortality/surgeryBlood Vessel Prosthesis ImplantationDuodenal Diseases/diagnosis/mortality/surgeryFemaleFistula/diagnosis/mortality/surgeryGastrointestinal Hemorrhage/diagnosis/etiology/mortalityHumansIntestinal Fistula/diagnosis/mortality/surgeryMaleMiddle AgedPostoperative Complications/diagnosis/mortality/surgeryRetrospective StudiesSepsis/complications/mortality/surgerySutures
PMID: 12704326
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Research group Chirurgie cardio-vasculaire (105)
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SIERRA HERNANDEZ, Jorge Enrique et al. Aorto-enteric fistula is a serious complication to aortic surgery. Modern trends in diagnosis and therapy. In: Cardiovascular surgery, 2003, vol. 11, n° 3, p. 185-8. doi: 10.1016/S0967-2109(03)00004-8 https://archive-ouverte.unige.ch/unige:45483

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Deposited on : 2015-01-19

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