Endovascular Repair of a Presumed Aortoenteric Fistula: Late Failure Due to Recurrent Infection

Autor: Jean M. LaBerge, Susan D. Wall, Timothy A.M. Chuter, Roy L. Gordon, Robert K. Kerlan, Linda M. Reilly, Raj Sawhney, Catherine J. Canto, Gregory C. Lukaszewicz, Louis M. Messina, Rishad M. Faruqi
Rok vydání: 2000
Předmět:
Male
Reoperation
Gastrointestinal bleeding
medicine.medical_specialty
Duodenum
Aortoenteric fistula
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
Diagnosis
Differential
Blood Vessel Prosthesis Implantation
03 medical and health sciences
Aortic aneurysm
Pseudoaneurysm
0302 clinical medicine
Aneurysm
Intestinal Fistula
Humans
Surgical Wound Infection
Medicine
Radiology
Nuclear Medicine and imaging
Duodenoscopy
Aged
Vascular Fistula
Aortic Aneurysm
Thoracic
medicine.diagnostic_test
business.industry
Angiography
medicine.disease
Endoscopy
Surgery
surgical procedures
operative
medicine.anatomical_structure
Chills
medicine.symptom
Gastrointestinal Hemorrhage
Tomography
X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Aneurysm
False
Follow-Up Studies
Zdroj: Journal of Endovascular Therapy. 7:240-244
ISSN: 1545-1550
1526-6028
DOI: 10.1177/152660280000700312
Popis: Purpose: To describe a case of presumed aortoduodenal fistula that was treated by endovascular implantation of a stent-graft. Methods and Results: A 76-year-old man was transferred from another hospital where he had been treated for upper gastrointestinal hemorrhage over a 2-month period. Ten years previously, he had undergone aortobifemoral bypass, the right limb of which recently thrombosed. At the time of transfer, computed tomographic scanning showed a large false aneurysm between the aorta and the duodenum. Endoscopy disclosed mucosal erosions in the fourth portion of the duodenum. Following implantation of 2 overlapping stent-grafts, the bleeding ceased and the false aneurysm disappeared. At no time did the patient have a fever. The patient initially did well, but 8 months after treatment, he presented with fever and chills. Recurrent infection had caused erosion of the aorta so that a large portion of the stent-graft was visible from the duodenum. The infected graft and stent-grafts were removed in a two-part operation, from which the patient recovered satisfactorily. Conclusions: Endovascular stent-grafts may have a role to play in the management of aortoduodenal fistula, if only as a temporary measure to control bleeding.
Databáze: OpenAIRE
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