URETERAL PATHOLOGY ASSOCIATED WITH AORTIC SURGERY - REPORT OF 3 UNUSUAL CASES

  • 1 January 1978
    • journal article
    • research article
    • Vol. 83  (4) , 464-469
Abstract
I.v. pyelography is a necessary prerequisite to safe aortic surgery. Although urological complications of aortic pathology were recognized for 30 yr, visualization of the urinary tract was not necessarily routine practice in preoperative planning. With increasing frequency of aortic reconstruction, careful preoperative evaluation will continue to lower morbidity and mortality rates. Three cases, one of perigraft ureteral fibrosis causing obstruction, one of ureteral obstruction due to retroperitoneal fibrosis and one of ureterocutaneous fistula in a patient with an infected aortic prosthesis are reviewed. These uncommon problems support the contention that information gained from routine excretory urograms will aid in careful preoperative assessment. The i.v. pyelogram will facilitate early recognition of postoperative urological complications.

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