Endovascular repair of an aortoduodenal fistula.
OBJECTIVE
To demonstrate the utility of endovascular stent-graft repair for the management of an unusual aortoduodenal fistula.


RESULTS
A 23-year-old man with an aortoduodenal fistula secondary to tumor necrosis was treated with a Corvita endoluminal stent-graft after several failed surgical attempts to repair the defect. At 2-year follow-up, the patient was clinically and radiographically devoid of any evidence of occult stent-graft infection.


CONCLUSIONS
This case illustrates the usefulness of endovascular repair for the treatment of a primary aortoduodenal fistula. Endovascular repair should be included in the armamentarium for the management of difficult aortoduodenal fistulas.
Eskandari
M K
MK
Division of General Surgery, The University of Pittsburgh Medical Center, Pennsylvania, USA. m-eskandari@nwu.edu
Makaroun
M S
MS
Abu-Elmagd
K M
KM
Billiar
T R
TR
D000328:Adult; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D011859:Radiography; D012086:Reoperation; D012186:Retroperitoneal Neoplasms / Q000150:complications; D015607:Stents; D018243:Teratocarcinoma / Q000150:complications; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*