Japanese Journal of Cardiovascular Surgery
Online ISSN : 1883-4108
Print ISSN : 0285-1474
ISSN-L : 0285-1474
[Aortic Disease]
A Case of an Aortoenteric Fistula Occurring 27 Years after Y Graft Replacement
Masaharu HatakeyamaKota ItagakiKeisuke KandaShinya MasudaKoichi Nagaya
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2018 Volume 47 Issue 6 Pages 298-302

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Abstract

A 92 year-old-female with melena was admitted to our hospital. She underwent Y-graft replacement of the abdominal aorta at the age of 65. Gastroduodenal fiberscopic examination and computed tomography (CT) confirmed the diagnosis of aortoduodenal fistula. The fistula in the proximal anastomotic site was occluded with a suture ligature and omentopexy was performed. On the 15th post-operative day she developed high-grade fever. CT revealed a pseudoaneurysm formation at the proximal anastomosis site. She underwent emergency endovascular aneurysmal repair (EVAR). Her postoperative course was uneventful. She is doing well without symptoms of recurrent infection.

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© 2018 The Japanese Society for Cardiovascular Surgery
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