Subscribe to RSS
DOI: 10.1055/s-2001-11707
Successful Management
of Secondary Aortoesophageal Fistula with Graft Infection
Publication History
Publication Date:
31 December 2001 (online)
A 60-year-old woman was transferred to our institution after massive hematemesis and the diagnosis of secondary aortoesophageal fistula was made. Five months previously, she had undergone graft replacement from the origin of the left subclavian artery to midthoracic aorta for chonic type B dissection. After an extraanatomic bypass was performed through a sternotomy, the infected thoracic aortic graft was resected through a left thoracotomy. She remained well without evidence of infection.
Key words:
Secondary aortoesophageal fistula - Type B aortic dissection - Graft infection - Extraanatomic bypass
References
- 1 Chervu A, Moor W S, Chavapil M, Henderson T. Efficacy and duration of anti-staphylococcal activity comparing three antibiotics bonded to Dacron vascular grafts with a collagen release system. J Vasc Surg. 1991; 13 897-901
- 2 Hayes P D, Nasim A, London N J M. et al . In situ replacement of infected aortic grafts with rifampicin-bonded prostheses: The Leicester experience (1992 to 1998). J Vasc Surg. 1999; 30 92-98
- 3 Pipinos I I, Reddy D J. Secondary aortoesophageal fistula. J Vasc Surg. 1997; 26 144-149
- 4 Luketich J D, Sommers K E, Griffith B P. et al . Successful management of secondary aortoesophageal fistula. Ann Thorac Surg. 1996; 62 1852-1854
- 5 Vogt V R, Pfammatter T, Schlumpf R. et al . In situ repair of aortobronchial, aortoesophageal, and aortoenteric fistulae with cryopreserved aortic homografts. J Vasc Surg. 1997; 26 11-17
- 6 Hargrove W C, Edmonds L H. Management of infected thoracic aortic prosthetic grafts. Ann Thorac Surg. 1984; 26 37-72-7
- 7 Vogt P R, Turina M L. Management of infected aortic grafts: development of less invasive surgery using cryopreserved homografts. Ann Thorac Surg. 1999; 67 1986-1989
Received for Publication: June 14, 2000
Dr. A. Iguchi
Department of Thoracic and Cardiovascular Surgery
Tohoku University School of Medicine
1-1 Seiryomachi Aoba-ku Sendai City
980-8574
Japan
Phone: +81-22-717-7222
Fax: +81-22-717-7227
Email: iguchi@mail.cc.tohoku.ac.jp