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- W2084952467 abstract "As fístulas aorto-entéricas secundárias são complicações raras, mas potencialmente fatais após cirurgia da aorta abdominal e permanecem umas das mais desafiantes entidades patológicas vasculares a tratar. Os autores apresentam um caso clínico de uma doente com antecedentes de cirurgia de reconstrução aórtica (bypass aorto-bifemoral realizado há 6 anos) para tratamento de doença arterial periférica, que foi admitida no nosso hospital por hemorragia digestiva tendo-se visualizado em esofagogastroduodenoscopia da 3° porção do lúmem duodenal, prótese de Dacron® de bypass aorto-bifemoral prévio. Efetuou-se então, com sucesso, um bypass axilo-bifemoral com duodenectomia segmentar, bypass duodeno-jejunal e remoção parcial do bypass aorto-bifemoral prévio. A doente teve alta do nosso hospital, após longo internamento, do qual resultou isquemia irreversível do membro inferior direito com consequente necessidade amputação acima do joelho. Secondary aorto-enteric fistulas are a rare but potentially fatal complication after abdominal aortic surgery and remain one of the most challenging vascular disease. The authors present a case report of a female patient with past history of aortic reconstruction surgery (aortobifemoral bypass, performed 6 years previously) for treatment of peripheral artery disease, that was admitted in our hospital with a gastrointestinal bleeding. The Dacron® graft of the previous aortic procedure was visualized inside the 3rd portion of the duodenum in an esophagogastroduodenoscopy. A successful axillobifemoral bypass, with segmental duodenectomy, duodenal-jejunal bypass and a partial removal of the aorto-bifemoral was performed. The complications included irreversible ischemia of the right limb followed by above the knee amputation and the patient was discharged after a long hospital stay." @default.
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- W2084952467 date "2013-06-01" @default.
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- W2084952467 title "Fístulas aorto-entéricas secundárias – caso clínico" @default.
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