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Multifaceted surgical approach of combined thoracoretroperitoneal incision and midline abdominal incision for a secondary aortoenteric fistula.
- Source :
-
Journal of Cardiothoracic Surgery . 1/28/2024, Vol. 19 Issue 1, p1-6. 6p. - Publication Year :
- 2024
-
Abstract
- Background: We report a one-stage surgery to the case of secondary aortoenteric fistula (sAEF) after prosthetic reconstruction of abdominal aortic aneurysm, by multifaceted approach. Case presentation: A 63-year-old male was admitted to our unit under diagnosed of sAEF after prosthetic reconstruction of abdominal aortic aneurysm, and a pseudoaneurysm of thoracoabdominal aorta due to infection. The patient underwent emergency operation. Firstly, we placed the patient in a modified right lateral decubitus position and performed thoracoabdominal aortic replacement with retroperitoneal approach by thoracoretroperitoneal incision which combined thoracotomy and pararectal incision, and secondly, we changed to a supine position and performed closure of the duodenal fistula and omental flap transposition by midline abdominal incision. The patient was doing well without complications. Conclusions: A one-stage, multifaceted surgical approach covering both prosthetic reconstruction of thoracoabdominal aorta and closure of sAEF with omentopexy is reasonable and useful strategy. [ABSTRACT FROM AUTHOR]
- Subjects :
- *FISTULA
*ABDOMINAL aortic aneurysms
*THORACOTOMY
*SUPINE position
*FALSE aneurysms
Subjects
Details
- Language :
- English
- ISSN :
- 17498090
- Volume :
- 19
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Cardiothoracic Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 175023243
- Full Text :
- https://doi.org/10.1186/s13019-024-02496-2