CASE REPORTS  VASCULAR PAPERS 

The Journal of Cardiovascular Surgery 2000 April;41(2):325-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

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.