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