Léčba infekce cévní protézy a aorto-enterické píštěle jako pozdní komplikace rekonstrukčního výkonu na aortě-kazuistika

Title in English Treatment of Vascular Prosthesis Infection and Aorto-enteric Fistula as a Late Complication after Reconstructive Surgery of the Abdominal Aorta-a Case Report
Authors

WASIKOVÁ Sabina STAFFA Robert KŘÍŽ Zdeněk PISKAČ Petr

Year of publication 2007
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords aorto-enteric fistula; vascular prosthesis infection; FDG-PET; axillobifemoral bypass
Description Vascular prosthesis infection is a serious diagnostic and therapeutic problem. Timely diagnosis and adequate treatment are essential for the patients future condition. We present a case report of a 60-year-old man with aortobifemoral prosthesis infection and with an aorto-duodenal fistula. The prosthesis infection was confirmed by fluorodeoxyglucose positron emission tomography. Urgent surgery was indicated due to massive gastrointestinal bleeding. Because of lower limb ischaemia after removal of the infected bifurcation prosthesis, an implantation of an axillobifemoral bypass was performed din a one stage procedure. 8 months after the surgery, the patient is in good condition without walking limitation.

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