Late Complications of Abdominal Aortic Reconstructive Surgery: Roentgen Evaluation

Overview

Journal Ann Surg

Specialty General Surgery

Date 1977 Mar 1

PMID 843131

Citations 5

Authors

W M Thompson

I S Johnsrude

D C Jackson

R A Older

A S Wechsler

Affiliations

Soon will be listed here.

Abstract

During a 5-year period from 1969 to 1974, 53 (8.5%) of 631 patients developed late complications following abdominal aortic reconstructive surgery. Occlusion was the most frequent complication and occurred in 4%. Others included stenosis, false aneurysm, enteric fistula and infection. Late complications were demonstrated by roentgenographic methods. Angiography was the most valuable roentgen study. It is indicated in all patients suspected of having delayed complications except those with unstable life-threatening hemorrhage. Additional roentgenographic studies including the barium enema and barium meal may help make the diagnosis and exclude other entities. In any patient with an abdominal aortic graft and gastrointestinal bleeding, the diagnosis of an aorto-enteric fistula should be considered until otherwise proven.

Citing Articles

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Rare late complication after operation of traumatic aneurysm of the thoracic aorta.

HEBERER G, Stelter W, Jauch K World J Surg. 1985; 9(2):367-70.

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Aneurysm of the proper hepatic artery as a rare source of upper gastrointestinal bleeding.

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Duodenal fistula: complication of a pseudoaneurysm of the common hepatic artery.

Aggarwal S, Berry M Gastrointest Radiol. 1988; 13(3):230-2.

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Postoperative alterations in size of Dacron aortic grafts: an ultrasonic evaluation.

NUNN D, Freeman M, HUDGINS P Ann Surg. 1979; 189(6):741-5.

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References

DEBAKEY M, Crawford E, Cooley D, MORRIS Jr G, ROYSTER T, ABBOTT W . ANEURYSM OF ABDOMINAL AORTA ANALYSIS OF RESULTS OF GRAFT REPLACEMENT THERAPY ONE TO ELEVEN YEARS AFTER OPERATION. Ann Surg. 1964; 160:622-39. PMC: 1408903. DOI: 10.1097/00000658-196410000-00007. View

Young J, HUMPHRIES A, DEWOLFE V, LeFEVRE F . Complications of abdominal aortic surgery. II. Intestinal ischemia. Arch Surg. 1963; 86:51-9. DOI: 10.1001/archsurg.1963.01310070053007. View

HUMPHRIES A, Young J, DEWOLFE V, LeFEVRE F . Complications of abdominal aortic surgery. I. Aortoenteric fistula. Arch Surg. 1963; 86:43-50. DOI: 10.1001/archsurg.1963.01310070045006. View

HARTZELL J, GRINDLAY J, Priestley J, BOLLMAN J . Changes in duodenal pH after exclusion of pancreatic secretions in dogs. Arch Surg. 1962; 85:142-51. DOI: 10.1001/archsurg.1962.01310010146020. View

Crawford E, DE BAKEY M, MORRIS Jr G, Garrett E . Evaluation of late failures after reconstructive operations for occlusive lesions of the aorta and iliac, femoral, and popliteal arteries. Surgery. 1960; 47:79-104. View

Dubost C, Allary M, OECONOMOS N . Resection of an aneurysm of the abdominal aorta: reestablishment of the continuity by a preserved human arterial graft, with result after five months. AMA Arch Surg. 1952; 64(3):405-8. View

Waibel P, DUNANT J . Late results of aorto-iliac reconstructive surgery. J Cardiovasc Surg (Torino). 1973; 14(5):492-4. View

Willwerth B, Waldhausen J . Infection of arterial prostheses. Surg Gynecol Obstet. 1974; 139(3):446-52. View

SZILAGYI D, Smith R, Elliott J, Vrandecic M . Infection in arterial reconstruction with synthetic grafts. Ann Surg. 1972; 176(3):321-33. PMC: 1355400. DOI: 10.1097/00000658-197209000-00008. View

10.

Thompson W, Jackson D, Johnsrude I . Aortoenteric and paraprosthetic-enteric fistulas: radiologic findings. AJR Am J Roentgenol. 1976; 127(2):235-42. DOI: 10.2214/ajr.127.2.235. View

11.

Chiariello L, Reul Jr G, WUKASCH D, Sandiford F, Hallman G, Cooley D . Ruptured abdominal aortic aneurysm. Treatment and review of eighty-seven patients. Am J Surg. 1974; 128(6):735-8. DOI: 10.1016/0002-9610(74)90060-9. View

12.

DOWNS A . Aorto-iliac occlusive disease. Surg Clin North Am. 1974; 54(1):195-212. DOI: 10.1016/s0039-6109(16)40244-6. View

13.

Lee K, Walls W, Martin N, Templeton A . A practical approach to the diagnosis of abdominal aortic aneurysms. Surgery. 1975; 78(2):195-201. View

14.

SZILAGYI D, Elliott J, Smith R, Hageman J, Sood R . Secondary arterial repair. The management of late failures in reconstructive arterial surgery. Arch Surg. 1975; 110(5):485-93. DOI: 10.1001/archsurg.1975.01360110031007. View

15.

Imparato A, Sanoudos G, Epstein H, Abrams R, BERANBAUM E . Results in 96 aortoiliac reconstructive procedures: preoperative angiographic and functional classifications used as prognostic guides. Surgery. 1970; 68(4):610-6. View

16.

Moore W, Cafferata H, Hall A, Blaisdell F . In defense of grafts across the inguinal ligament. An evaluation of early and late results of aorto-femoral bypass grafts. Ann Surg. 1968; 168(2):207-14. PMC: 1387086. DOI: 10.1097/00000658-196808000-00005. View

17.

Kouchoukos N, Levy J, Balfour J, Butcher H . Operative therapy for aortoiliac arterial occlusive disease. A comparison of therapeutic methods. Arch Surg. 1968; 96(4):628-35. DOI: 10.1001/archsurg.1968.01330220144023. View