Successful emergency operation for a graft-enteric fistula with massive melena and sepsis: A case report.
10.4326/jjcvs.18.804
- VernacularTitle:僧帽弁再置換術，腹部大動脈Ｙ型人工血管再置換術後遠隔期に生じたｇｒａｆｔ‐ｅｎｔｅｒｉｃ ｆｉｓｔｕｌａの１手術救命例
- Author:
Yutaka KOTSUKA
;
Jun NAKAJIMA
;
Takeshi MIYAIRI
;
Ryuji MURAKAMI
;
Hideto NAKAHARA
;
Masakazu NOBORI
;
Yusuke TADA
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1989;18(6):804-808
- CountryJapan
- Language:Japanese
-
Abstract:
A 44-year-old male, with past history of mitral valve re-replacement, tricuspid annuloplasty and re-replacement of aorto-biiliac prosthetic graft 4 years previously, was admitted to Asahi General Hospital because of massive melena, sepsis and shock. Angiography revealed a false aneurysm at the site of the anastomosis between the graft and the right external iliac artery. He was diagnosed as having graft-enteric fistula, and the emergency operation, including partial resection of the graft, excision of the false aneurysm and extraanatomic bypass, was performed successfully. Pathogenesis, diagnosis and treatment of graft-enteric fistula are discussed.
