The Case of Aortic Bronchial and Enteric Fistula

Aorto-bronchial and aorto-enteric fistulas are rare but serious complications, which can develop from an aneu-rysm of the descending thoracic or abdominal aorta. The leading symptom is haemorrhage into the target organ: bronchus (haemoptysis) or bowel (haematemesis, melena). Conventional surgery via thoracotomy or laparotomy is a risky procedure. EVAR of such potentially infected fistulas is an attractive alternative with excellent primary results (Fig. 5.4.6). Most authors postulate a good prognosis, but in cases of superinfection the risk of recurrence is increased; therefore, close surveillance of the patient is strongly recommended [1, 9, 52].

Type Dissection Aorta Illiac
Fig. 5.4.6 EVAR for complicated aortic type B dissection (rupture of thoracic aorta, visceral and renal ischaemia, occlusion of right iliac axis) - hybrid management (figure continued on the following page)
Vascular Surgery
Fig. 5.4.6 (continued) EVAR for complicated aortic type B dissection (rupture of thoracic aorta, visceral and renal ischaemia, occlusion of right iliac axis) - hybrid management

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Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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