The management of aortoduodenal fistula by in situ replacement of the infected abdominal aortic graft.

@article{Walker1987TheMO,
  title={The management of aortoduodenal fistula by in situ replacement of the infected abdominal aortic graft.},
  author={William E. Walker and Denton A. Cooley and J. Michael Duncan and Grady L. Hallman and David A. Ott and George J. Reul},
  journal={Annals of surgery},
  year={1987},
  volume={205 6},
  pages={727-32}
}
Conventional surgical wisdom dictates the complete removal of infected abdominal aortic graft, oversewing of the aorta, and restoration of lower limb bloodflow by extra-anatomic bypass grafting. Dissatisfied with this approach because of the high incidence of local complications, mortality, and loss of limb, 20 patients with secondary aortoduodenal fistula had duodenal repair, excision of the old graft, and placement of a new graft in the same location. A similar technique was used in three… CONTINUE READING