Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 2003 , Vol 12 , Issue 1
SURGICAL APPROACH TO AORTAENTERIC FISTULAS: TWO CASE REPORT
Öner GÜLCAN1, Hasan Berat CİHAN2, Rıza TÜRKÖZ1
1Başkent Üniversitesi Tıp Fakültesi Kalp Damar Cerrahisi Anabilim Dalı Adana Uygulama ve Araştırma Merkezi
2İnönü Üniversitesi Tıp Fakültesi Kalp Damar Cerrahisi Anabilim Dalı, Malatya
Aortoenteric fistulas, causing diffuse infection and hemodynamic instability, still have high mortality and morbidity although different surgical approaches were applied.

Two patients having primary and secondary aortoenteric fistulas underwent emergent surgery due to their clinical unstability. Duodenal repair, graft resection and extraanatomic bypass (axillofemoral-femorofemoral) procedures were prefered as the surgical approach for the patient having secondary aortoenteric fistula, who was discharged on the fifth postoperative day. We applied duodenal repair, aneurysm resection, wide debridment and in situ graft replacement (aortobiiliac) on the patient having primary aortoenteric fistula; however, the patient died on twentysecond postoperative day due to sepsis and multisystem organ failure.

Since there is a risk of infection for aortoenteric fistulas, instead of performing in situ graft replacement, extraanatomic bypass procedure can be applied as an even better alternative. (Turkish J Vasc Surg 2003; 12(1): 35-37) Keywords : aortoenteric fistula, aortic aneurysm