Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome

Figure 2

Diagram of the surgical procedure. (a) Aneurysm, aortoduodenal fistula (arrow), and a 4-branched graft are shown. Oblique lines show the infectious area. Wavy lines are resected areas of the duodenum and jejunum. (b) Aortic repair and left leg revascularization are shown. The aortoduodenal fistula was subsequently resected. (c) Enterostomy was attached to the jejunum as the first stage of intestinal reconstruction. (d) The duodenojejunostomy was performed as the second stage of intestinal reconstruction.

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