Publication details
Aorto-intestinální píštěl - závažná komplikace chirurgie aorty a pánevních tepen
| Title in English | Aortointestinal Fistula - A Serious Complication of Surgery on Aortic and Pelvic Arteries |
|---|---|
| Authors | |
| Year of publication | 2007 |
| Type | Article in Periodical |
| Magazine / Source | Rozhledy v chirurgii |
| MU Faculty or unit | |
| Citation | |
| Field | Surgery incl. transplantology |
| Keywords | aortoenteral fistula; abdominal aortic aneurysm; aortobifemoral bypass; axilobifemoral bypass; primary and secondary fistula |
| Description | Aortoenteral fistula (AEF) is a rare, but a serious complication in the vascular surgery. It may occur as a primary or a secondary fistula. The principal sign of the condition is bleeding from the gastrointestinal tract (GIT), which, depending on its severity, may present with various symproms (anemia, melena, hematemesis). The authors describe three cases of patients who experienced AEF. In all the cases, signs of masive GIT bleeding were present with a rapid development of hemorrhagic shock. In a single case, the primary fistula was concerned, in two cases the fistula was secondary. The perioperative mortality rate reached 66%. The surgical management approach is discussed in the article and early diagnosis and prevention of the complication is emphasized. |