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ULTIMO FASCICOLOINTERNATIONAL ANGIOLOGY

Rivista di Angiologia


Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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CASE REPORTS  


International Angiology 1999 Settembre;18(3):244-6

lingua: Inglese

Primary aor­tod­u­od­en­al fis­tu­la treat­ed suc­cess­ful­ly with sur­gery in a ­patient with Takayasu’s arter­itis. Case ­report

Shindo S., Suzuki O., Kamiya K., Tada Y.

From the Second Department of Surgery, Yamanashi Medical University, Yamanashi, Japan


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Takayasu’s arter­itis was orig­i­nal­ly ­described as a system­ic inflam­ma­to­ry arte­ri­al dis­ease pre­sent­ing with occlu­sive chang­es. However, it has also been known to cause aneu­rysm for­ma­tion. In this ­report, a ­patient with Takayasu’s arter­itis was found to have an aor­tod­u­od­en­al fis­tu­la. An emer­gen­cy oper­a­tion was car­ried out with resec­tion of the sac­cu­lar aneu­rysm and the fis­tu­la. The aorta was recon­struct­ed with a pros­thet­ic graft and the duod­e­num ­repaired. A ped­i­cled omen­tal flap was ­placed ­between the aorta and the duod­e­num. The post­op­er­a­tive recov­ery was unevent­ful, there was no evi­dence of per­sis­tent bleed­ing, and the ­patient was well at the 3-year fol­low-up. This is the first case in the English lan­guage lit­er­a­ture of a pri­mary aor­tod­u­od­en­al fis­tu­la treat­ed suc­cess­ful­ly with sur­gery in a ­patient with Takayasu’s arter­itis.

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