Recurrent aortoenteric fistula: two different bridge solutions.
A "recurrent" aortoenteric fistula (AEF) is very rare and in literature anecdotic. Currently, graft excision and extra-anatomic bypass are considered the treatments of choice, but are associated with significant mortality and morbidity. Herein, we describe the case of a "recurrent" AEF treated before definitive extra-anatomic bypass, by two different, staged bridge solutions: allograft in situ replacement and endovascular grafting. At 1, 3 and 6-month follow-up, the patient was asymptomatic and normally active.
Chisci
Emiliano
E
Vascular and Endovascular Surgery Unit, Department of Surgery, University of Siena, Siena, Italy. e.chisci@libero.it
de Donato
Gianmarco
G
Setacci
Francesco
F
Stella
Andrea
A
Setacci
Carlo
C
D017541:Aneurysm, False / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000601:surgery*; D007579:Jejunal Diseases / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D016157:Vascular Fistula / Q000601:surgery*