AORTOURETERIC FISTULA AFTER AORTOFEMORAL BYPASS COMPLICATED BY PROSTHESIS INFECTION. CASE REPORT

ABSTRACTREZUMATAurel Mironiuc 1 , Marius Fodor 1 , Adriana Albu 2 , A. Oprea, A. Eni,Daniela Branzan 1 , Dana Demco 1 CASE PRESENTATION Fistula aorto-ureteral\ este o complica]ie rar\ a chirurgiei vasculare. In cazul prezentat aceasta a ap\rut dupa un by-pass aorto-femural complicat cu infec]iaprotezei. Debutul brutal, prin hematurie masiv\ a impus un diagnostic [i tratament chirurgical de urgen]\. Suprimarea fistulei aorto-ureterale [i revascularizareprin by-pass extra-anatomic axilo-femural au fost etapele interven]iei. Tarele asociate [i amploarea interven]iei pot explica exitusul pacientului. Fistula aorto-ureteral\ este o urgen]\ vascular\ rar\ cu mortalitate ridicat\ (50-80%) care necesit\ adaptarea strategiei operatorii la fiecare caz in parte.Cuvinte cheie: bypass aorto-femural infectat, fistul\ aorto-ureteral\, bypass extraanatomicAortoureteric fistula is a rare complication of vascular surgery. In the presented case, it developed after an aortofemoral bypass complicated by prosthesisinfection. The acute onset through massive hematuria required an emergency diagnosis and surgical treatment. The elimination of aortoureteric fistula and therevascularization through extra-anatomical axillofemoral bypass were the stages of surgery. The associated diseases and the extension of surgery can explainthe death of the patient. Aortoureteric fistula is a rare vascular emergency with great mortality (50-80%) that requires different approaches adapted for each case.Key Words: infected aortofemoral bypass, aortoureteric fistula, extra- anatomical bypass