title: Acutely bleeding aortoduodenal fistula: staged endovascular and open surgical repair.
abstract: Secondary aortoduodenal fistula is an uncommon but potentially fatal complication that can occur after aortic reconstruction surgery and usually presents with upper gastrointestinal hemorrhage. Taking into account the accompanying multiple comorbidities of those patients, conventional open surgical repair carries with it significant mortality and morbidity rates. The purpose of this case report is to describe the successful combined endovascular and open surgical repair of an acutely ruptured aortoduodenal fistula in a 67-year-old male patient. Four months after the procedure, the patient remains well.
authors.affiliation: Department of Vascular Surgery, Konstantopulio General Hospital "Agia Olga", N.Ionia, Athens, Greece. pnantoniadis@yahoo.gr
authors.forename: Pavlos
authors.initials: P
authors.lastname: Antoniadis
authors.forename: George
authors.initials: G
authors.lastname: Geropapas
authors.forename: Ekaterini
authors.initials: E
authors.lastname: Kounougeri
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Staramos
authors.forename: Alexios
authors.initials: A
authors.lastname: Kalamaras
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Dervisis
mesh_terms: D000208:Acute Disease; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D004378:Duodenal Diseases / Q000150:complications / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000601:surgery*; D008297:Male; D016157:Vascular Fistula / Q000150:complications / Q000601:surgery*