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  • Title: Aorto-intestinal fistula after reconstructive arterial surgery.
    Author: Burri B, Gertsch P, Mosimann R.
    Journal: Int Surg; 1983; 68(3):277-8. PubMed ID: 6662646.
    Abstract:
    In a group of 184 patients with synthetic, arterial bifurcation grafts, we have performed 16 operations for distal anastomotic pseudo-aneurysms and 11 for proximal anastomotic pseudoaneurysms. Four of the latter were encountered in three patients and took the form of aorto-intestinal fistulae. Excision of the arterial prosthesis, suture of the intestinal orifice and insertion of a new extra-anatomic bypass seems to be the treatment of choice. However, excision of an aortobifemoral prosthesis and replacement in situ with a new prosthesis or even suture of the aortic fistula with a patch represent acceptable treatment in certain particular situations.
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