A Successfully Treated Case of Primary Aortoenteric Fistula

(Department of Cardiovascular Surgery and Department of Pediatric Cardiovascular Surgery, Southern TOHOKU Research Institute for Neuroscience, Koriyama, Japan)

Kazunori Ishikawa Hirofumi Midorikawa Megumu Kanno
Takashi Ono* Shigehiro Morishima*
A 79-year-old man was transferred to our hospital because of massive hematemesis. Contrast-enhanced CT scan demonstrated extravasation of contrast medium into the jejunum. Therefore, we diagnosed primary aortoenteric fistula and performed an emergency operation. At surgical exploration, the jejunum was closely adherent to the normal-sized aorta. The fistula was present between the anterior wall of the aorta and the jejunum. Operative reconstruction was performed with in-situ grafting and a pedicled omentum flap was placed around the graft. The postoperative course was uneventful, and there has been no evidence of infection during the follow-up period of 1 year.
@Jpn. J. Cardiovasc. Surg. 37: 144-146 (2008)