Endovascular repair of a presumed aortoduodenal fistula.
This report describes the use of transluminal endovascular grafting for the treatment of a presumed aortoduodenal fistula. The patient was a 71-year-old man who had undergone resection and graft replacement for an abdominal aortic aneurysm. Three years after operation, melena was caused by perforation of the duodenal wall by a pseudoaneurysm at the proximal graft anastomosis. The pseudoaneurysm was treated by transluminal endovascular grafting. The pseudoaneurysm was subsequently thrombosed and absorbed. The ulcer-like lesions at the site of the duodenal wall perforated by the pseudoaneurysm also resolved. Endovascular stent-grafts may have a role to play in management of aortoduodenal fistula.
Suzuki
Shinichi
S
Department of Cardiovascular Surgery, Yokohama City University School of Medicine, Yokohama, Japan.
Imoto
Kiyotaka
K
Uchida
Keiji
K
Hashiyama
Naoki
N
Takanashi
Yoshinori
Y
D000368:Aged; D017541:Aneurysm, False / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D004378:Duodenal Diseases / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D007416:Intestinal Perforation / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D015607:Stents; D016157:Vascular Fistula / Q000601:surgery*