Treatment of Thoracoabdominal Aortic Aneurysm with Aortogastric Fistula: A Case Report / 대한흉부외과학회지

Aorto-gastric fistulas are relatively rare. Fistula formation between the aorta and the gartrointestinal tract is a serious condition that results in severe hemorrhage with a very high mortality rate. We present an unusual case of successful surgical treatment in Chonnam national university hospital ; of a patient with a aortogastric fistula into thoracoabdominal aortic aneurysm.

The Clinical Experience of The Descending Thoracic and Thoracoabdominal Aortic Surgery / 대한흉부외과학회지

BACKGROUND: The thoracic and thoracoabdominal aortic surgery is a complicated procedure that has various method of approach and protection. The authors have performed several methods to treat these diseases. Therefore, we attempt to analyze their results and risks. MATERIAL AND METHOD: From June of 1992 to August of 2001, we performed 26 cases of thoracic aortic surgery and 10 cases of thoracoabdominal aortic surgery. There were 17 aortic dissections, 17 aortic aneurysms, one coarctation of aorta and one traumatic aortic aneurysm. The thoracic aortic replacement was performed under a femorofemoral bypass, an LA to femoral bypass, or a deep hypothermic circulatory arrest. The thoracoabdominal aortic replacement was performed under a femorofemoral bypass or a pump assisted rapid infusion. RESULT: There were 7 renal failures, 11 hepatopathies, 7 cerebral vascular accidents, 2 heart failures, 5 respiratory insufficiencies, and 2 sepsis in postoperative period. There were 9 hospital mortalities which were from 2 bleedings, 2 heart failures, 2 renal failures, a sepsis, a respiratory failure, and a cerebral infarction. There were 3 late deaths which were from ruptured distal anastomosis, cerebral infarction, and pneumonia. CONCLUSION: Deep hypothermic circulatory arrest was not good supportive methods for thoracic aortic replacement. Total thoracoabdominal aortic replacement was a high risk operation.