Aortoduodenal fistula and associated rupture of abdominal aortic aneurysm after endoluminal stent graft repair.
The main complications of endovascular repair of abdominal aortic aneurysms are vascular leaks and rupture, although infection and aortoduodenal fistulas have also been reported rarely. We report a case of aortoduodenal fistula with separate retroperitoneal rupture of an abdominal aortic aneurysm after endovascular stent graft repair. The initial implantation was uneventful, without any leaks at 1 month. The patient underwent open repair and did well. To our knowledge, this is the first case report of aortoduodenal fistula and associated retroperitoneal rupture of the aneurysm after endovascular stent graft repair of an abdominal aortic aneurysm.
Alankar
Suresh
S
Department of Surgery, Baylor College of Medicine, Houston, Tex. 77030, USA.
Barth
Merle H
MH
Shin
David D
DD
Hong
Janice R
JR
Rosenberg
Wade R
WR
D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D011859:Radiography; D015607:Stents / Q000009:adverse effects*