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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORTS VASCULAR PAPERS
The Journal of Cardiovascular Surgery 2000 Aprile;41(2):325-7
Primary aortosigmoid fistula treated by descending thoracic aortofemoral bypass
Ihaya A., Chiba Y., Kimura T., Morioka K., Uesaka T., Muraoka R.
From the Second Department of Surgery Fukui Medical University Hospital, Fukui, Japan
Primary aortoenteric fistula is a rare disease with a fatal outcome unless it is diagnosed accurately and treated surgically. We present an elderly patient with primary aortosigmoid fistula confirmed by endoscopy. Descend-ing thoracic aortofemoral bypass was performed and the aortoiliac aneurysm and sigmoid colon were then resected in continuity. The patient maintains a good quality of life 6 years after the operation with good graft patency and no sign of graft infection.