Back to Search Start Over

Multifaceted surgical approach of combined thoracoretroperitoneal incision and midline abdominal incision for a secondary aortoenteric fistula.

Authors :
Minami, Tomoyuki
Kojima, Takahiro
Yabu, Naoto
Yamazaki, Ichiya
Saito, Aya
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]

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