Aortoureteric fistula after aortofemoral bypass complicated by prothesis infection. Case report
Articol din publicatia Timisoara Medical Journal nr. 4/2004
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Aurel Mironiuc1, Marius Fodor1, Adriana Albu2, A. Oprea1, A. Eni1, Daniela Branzan1, Dana Demco1
1Surgical Clinic II, 2Medical Clinic II, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj Napoca, Romania
Correspondence to: Aurel Mironiuc, Surgical Clinic II, Iuliu Hatieganu University of Medicine and Pharmacy, Clinicilor Str. 4-6, Cluj Napoca, Romania
Aortoureteric fistula is a rare complication of vascular surgery. In the presented case, it developed after an aortofemoral bypass complicated by prosthesis infection. The acute onset through massive hematuria required an emergency diagnosis and surgical treatment. The elimination of aortoureteric fistula and the revascularization through extra-anatomical axillofemoral bypass were the stages of surgery. The associated diseases and the extension of surgery can explain the death of the patient. Aortoureteric fistula is a rare vascular emergency with great mortality (50-80%) that requires different approaches adapted for each case.
Key Words: infected aortofemoral bypass, aortoureteric fistula, extra- anatomical bypass