The Experts below are selected from a list of 15 Experts worldwide ranked by ideXlab platform
Voboril Z - One of the best experts on this subject based on the ideXlab platform.
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Bleeding from Aortointestinal Fistula
Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti, 2006Co-Authors: Voboril ZAbstract:Aortointestinal Fistula is a patological communication between the aorta and the gut. Two groups of these Fistulas are described. The primary Fistulas originated as complications of aneurysma of the abdominal aorta and the secondary Fistulas as a consequence of reconstruction of the abdominal aorta or the iliac arteries. A case report of 69-year-old man operated for aneurysma of abdominal aorta with implanted aortal prosthesis is described. Four years after the surgery he complained for bleeding into the digestive tract. The only the small lesions of the stomach were found during endoscopy. A strong attack of bleeding which followed later recquired a laparotomy where aortoileal Fistula located in distal anastomosis between the aorta and the prosthesis was found. Despite of the intensive care patient died because of haemorhagic shock. Based on literature review and also based on the own experience author concludes that every patient with intraabodominal pulsating resistance, or with known diagnosis of the abdominal aorta aneurysma, or with aortal prosthesis who presents with features of the sepsis or bleeding into the digestive tract is suspicious from presence of Aortointestinal Fistula. The patient should be immediately examined by spiral CT with contrast and operated.
Gol'dina Im - One of the best experts on this subject based on the ideXlab platform.
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Radiation diagnosis of aortic aneurysmal ruptures with formation of anastomoses with the inferior cava and various organs
Vestnik rentgenologii i radiologii, 2007Co-Authors: Prozorov Sa, Belozerov Ge, Sharifullin Fa, Mikhaĭlov Ip, Gol'dina ImAbstract:The results of radiation diagnostic techniques were analyzed in 29 patients with aortic aneurysmal ruptures with formation of aortic anastomoses. The examination and treatment of 362 patients with abdominal aortic aneurysmal ruptures revealed that 23 (6.35%) patients had anastomoses (aortocaval (n = 15), aortoduodenal (n = 6), aortogastric (n = 1), and aortoureteral (n = 1)). Six patients were observed to have secondary Aortointestinal anastomoses occurring after reconstructive vascular surgery. In one patient, abdominal aortic aneurysmal rupture first led to the formation of a primary aortoduodenal anastomosis and some time after surgery a secondary Aortointestinal Fistula emerged. One out of 113 patients with aortic dissecting aortic aneurysms had an aortopulmonary Fistula. Ultrasonography, computed tomography, and angiography were performed in 27, 19, and 14 patients, respectively. Radiation diagnostic techniques revealed Fistulas in 9 (31%) out of the 29 patients. The diagnosis of aortic anastomoses presents challenges.
Prozorov Sa - One of the best experts on this subject based on the ideXlab platform.
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Radiation diagnosis of aortic aneurysmal ruptures with formation of anastomoses with the inferior cava and various organs
Vestnik rentgenologii i radiologii, 2007Co-Authors: Prozorov Sa, Belozerov Ge, Sharifullin Fa, Mikhaĭlov Ip, Gol'dina ImAbstract:The results of radiation diagnostic techniques were analyzed in 29 patients with aortic aneurysmal ruptures with formation of aortic anastomoses. The examination and treatment of 362 patients with abdominal aortic aneurysmal ruptures revealed that 23 (6.35%) patients had anastomoses (aortocaval (n = 15), aortoduodenal (n = 6), aortogastric (n = 1), and aortoureteral (n = 1)). Six patients were observed to have secondary Aortointestinal anastomoses occurring after reconstructive vascular surgery. In one patient, abdominal aortic aneurysmal rupture first led to the formation of a primary aortoduodenal anastomosis and some time after surgery a secondary Aortointestinal Fistula emerged. One out of 113 patients with aortic dissecting aortic aneurysms had an aortopulmonary Fistula. Ultrasonography, computed tomography, and angiography were performed in 27, 19, and 14 patients, respectively. Radiation diagnostic techniques revealed Fistulas in 9 (31%) out of the 29 patients. The diagnosis of aortic anastomoses presents challenges.
František Šlauf - One of the best experts on this subject based on the ideXlab platform.
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Penetrierendes atherosklerotisches Ulkus der Aorta mit massiver gastrointestinaler Blutung
Zentralblatt Fur Chirurgie, 2004Co-Authors: Certík B, Vladislav Treska, Tomáš Skalický, Jiří Moláček, František ŠlaufAbstract:Primary Aortointestinal Fistula is a rare reason for gastrointestinal bleeding and mainly caused by a communication between the digestive tract and an aortic aneurysm. The penetrating aortic ulcer has been recently recognized as an independent pathological entity. It may penetrate through the aortic wall, leading to Fistula into adjacent organs. We report the case of a 78-year-old woman who was admitted to our department with massive gastrointestinal hemorrhage. Endoscopy did not reveal the cause of hemorrhage. The diagnosis was made by computed tomography showing a primary aortoduodenal Fistula without aortic aneurysm. The patient was successfully operated on. During urgent operation we found the penetrating atherosclerotic ulcer as the cause of the aortoduodenal communication. Primary aortoenteric Fistula has a fatal outcome unless it is diagnosed accurately and urgently treated by surgical intervention. Contrast-enhanced computed tomography is the primary imaging modality to specify the diagnosis.
Zavrelová I - One of the best experts on this subject based on the ideXlab platform.
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Aortointestinal Fistula--a serious complication of surgery on aortic and pelvic arteries
Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti, 2007Co-Authors: Zdeněk Šilhart, Nicovský J, Ivo Hanke, Zavrelová IAbstract:Aortoenteral Fistula (AEF) is a rare, but a serious complication in the vascular surgery. It may occur as a primary or a secondary Fistula. The principal sign of the condition is bleeding from the gastrointestinal tract (GIT), which, depending on its severity, may present with various symptoms (anemia, melena, hematemesis). The authors describe three cases of patients who experienced AEF. In all the cases, signs of massive GIT bleeding were present with a rapid development of hemorrhagic shock. In a single case, the primary Fistula was concerned, in two cases the Fistula was secondary. The perioperative mortality rate reached 66%. The surgical management approach is discussed in the article, and early diagnosis and prevention of the complication is emphasized.
