Successful repair of three primary aortoduodenal fistulae
R. B. Pfeiffer Jr
The successful surgical treatment of three patients with primary
aortoduodenal fistulae was achieved in a retrospective analysis. The
treatment of this rare disorder included primary duodenal closure,
resection of the atherosclerotic aneurysm, and placement of a Dacron graft.
A review of the literature demonstrated only 18 survivors with this
surgical problem. These three additional cases emphasize that primary
duodenal repair and Dacron graft replacement of the aneurysm may be
performed instead of an extra-anatomic bypass.
