Yamamoto Yohei, Igari Kimihiro, Toyofuku Takahiro, Kudo Toshifumi, Inoue Yoshinori
Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2017 Apr 20;23(2):113-117. doi: 10.5761/atcs.cr.16-00132. Epub 2016 Jul 8.
An arterioenteric fistula is a devastating and life-threatening condition that requires urgent treatment. Less-invasive endovascular treatment has emerged as an alternative to conventional open repair, but postoperative graft infection remains a major concern. We herein report a case of late stent graft infection after emergency endovascular repair of a secondary iliac artery-enteric fistula. The patient was a 63-year-old male who presented with a fever, who had undergone successful endovascular stent grafting for a secondary common iliac artery-enteric fistula 29 months prior. The diagnosis of a stent graft infection was confirmed via computed tomography. He underwent graft removal and in situ reconstruction with femoral vein grafts. At 6-month follow-up, the patient is in a good general condition without any symptoms.
动脉肠瘘是一种严重的、危及生命的疾病，需要紧急治疗。微创血管内治疗已成为传统开放修复的替代方法，但术后移植物感染仍然是一个主要问题。我们在此报告一例继发性髂动脉-肠瘘紧急血管内修复术后晚期支架移植物感染的病例。患者为一名63岁男性，出现发热症状，29个月前因继发性髂总动脉-肠瘘成功接受了血管内支架植入术。通过计算机断层扫描确诊为支架移植物感染。他接受了移植物切除并使用股静脉移植物进行原位重建。在6个月的随访中，患者总体状况良好，没有任何症状。
