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Chirurgia 2007 June;20(3):133-5

language: English

Successful repair with omental flap attached to gastric tube for aortoesophageal fistula with mycotic pseudoaneurysm

Nakajima T. 1, Kawazoe K. 1, Oka T. 1, Ikeda K. 2, Ishida K. 2

1 Department of Cardiovascular Surgery Iwate Medical University Memorial Heart Center Morioka, Japan
2 Department of Surgery Iwate Medical University, Morioka, Japan


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Surgical treatment for aortoesophageal fistula is associated with high mortality and morbidity. We describe a case of a 61-year-old woman with aortoesophageal fistula complicated with mycotic pseudoaneurysm who was successfully treated. Immediate reconstruction of gastrointestinal continuity after aortic replacement was performed using an omental flap attached to a gastric tube. The postoperative course was uneventful, and the patient remains well at the 6-year follow-up. This approach is recommended for selected patients and can result in rapid postoperative recovery.

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