PURPOSE: To review the manifestation and management of @entity360 caused by secondary aortoenteric @entity292 (AEF) after infrarenal aortic grafting. METHODS: Between 1991 and 2006, nine @entity1 underwent emergency treatment for secondary AEF localized in the duodenum (78%), ileum (11%), or sigmoid colon (11%). Three (33%) @entity1 suffered @entity1457 . There were two (22%) real @entity292 and seven (78%) paraprosthetic @entity292 . Graft infection was confirmed in four (45%) @entity1 and four (45%) had proximal sterile @entity2849 . Surgical management consisted of graft removal with (n = 5) or without simultaneous extra-anatomic bypass (n = 1), in situ Dacron graft interposition (n = 3), ileo-duodenorrhaphy (n = 8), sigmoidectomy with colostomy (n = 1), and segmentary ileectomy (n = 1). Endografting was used only as a temporary measure to control @entity548 in two @entity1 . RESULTS: The mortality rate was 55% (n = 5). There were no intraoperative deaths, but 75% of the septic @entity1 , 66% of those with preoperative @entity1344 , 50% of those with @entity2849 , and 100% of those who required bowel resection died during the early postoperative period. Moreover, all of the surviving @entity1 suffered early postoperative morbidity, resulting in prolonged intensive care unit stay and hospitalization. CONCLUSIONS: Secondary AEF is life-threatening, difficult to treat, and associated with high morbidity and mortality, especially in @entity1 with @entity295 or @entity1344 and those requiring bowel resection.

Late XXXX after infrarenal aortic grafting: a 16-year experience.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity1457 :: ('MESH:D012769', 'Disease') :: ['hypovolemic shock'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula', 'fistulas'] @entity1344 :: ('MESH:D043171', 'Disease') :: ['hemodynamic instability'] @entity360 :: ('MESH:D006471', 'Disease') :: ['gastrointestinal (GI) bleeding'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['pseudoaneurysms']
@entity360 :: (MESH:D006471,Disease) :: ['gastrointestinal bleeding']
