Endovascular repair of aortojejunal fistula.
A 64-year-old male with vascular occlusive disease involving multiple vessels is presented with a history of aortobifemoral bypass grafting and bilateral femoral false aneurysm surgery. More recently, he had cystectomy for bladder carcinoma and repeated urinary stents and sepsis. Gastrointestinal bleeding developed due to the aortic graft anastomotic false aneurysm eroding into the distal jejunum. Endograft placement stabilized the critical situation and served as a bridge to a safer, more elective resection of the previous graft, the false aneurysm, and the endograft with closure of the jejunum.
Dieter
Raymond A
RA
Department of Surgery, DuPage Medical Group, Glen Ellyn, Illinois 60137, USA.
Blum
Andrew S
AS
Pozen
Thomas J
TJ
Kuzycz
George
G
D001018:Aortic Diseases / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D007579:Jejunal Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015607:Stents; D016157:Vascular Fistula / Q000601:surgery*