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The Journal of Cardiovascular Surgery 2002 February;43(1):99-101

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Simple surgical technique to prevent direct secondary aortoenteric fistulas

Demaria R. G., Borie F., Albat B., Frapier J. M., Millat B., Chaptal P. A.

From the Department of Cardiovascular Surgery Arnaud de Villeneuve Hospital *Department of Digestive Surgery, Saint Eloi Hospital University Hospital of Montpellier, Montpellier, France


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To pre­vent ­direct sec­on­dary aor­toen­teric fis­tulas, a dev­as­tating com­pli­ca­tion of abdom­inal ­aortic sur­gery, we ­describe ­here a ­rapid, ­very ­easy to per­form and no ­cost oper­ating tech­nique. A ­part ­about 4 cm ­long of the vas­cular pros­thesis was cut to ­obtain a par­tial tail­ored ­ring ­which was ­passed ­through the pros­thesis. ­After the anas­tom­osis was real­ized, the tail­ored ­ring was ­hitched up to ­totally ­cover prox­imal anas­tom­osis and pre­vent ­direct con­tact ­between ­aorto-pros­thetic anas­tom­osis and the ­bowel.

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