An Aortoenteric Fistula Arising after Endovascular Management of a Mycotic Abdominal Aortic Aneurysm Complicated with a Psoas Abscess

Autor: Aytaç Gülcü, Naciye Sinem Gezer, Şevket Baran Uğurlu, Ahmet Yiğit Göktay
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Iranian Journal of Medical Sciences, Vol 41, Iss 4, Pp 350-353 (2016)
Druh dokumentu: article
ISSN: 0253-0716
1735-3688
Popis: Mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. The management of this disease is controversial. Since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown. Secondary aortoenteric fistulas may occur iatrogenically after either aortic reconstructive surgery or endovascular repair. As the number of aneurysms managed with endovascular aneurysm repair has substantially increased, cases of aortoenteric fistulas referred for endovascular repair are augmented. We report the case of an aortoduodenal fistula manifested with duodenal perforation after staged endovascular and surgical treatment of a mycotic aortic aneurysm.
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