Current management of mesenteric extrahepatic arterioportal fistulas: report of a case treated with a gastroduodenal artery stent graft and literature review.
Spontaneous arteriovenous fistulation of a pseudoaneurysm into superior mesenteric vein (SMV) has rarely been reported. We present the case of a 61-year-old woman who presented with a post pancreatic arterioportal fistula (APF) that was successfully managed by stent graft (SG) placement in the gastroduodenal artery (GDA). We also review the published experience of the endovascular management of mesenteric extrahepatic APFs. This review demonstrates the evolution from open surgical to endovascular management for majority of these patients.
Krishan
Sonal
S
Department of Interventional Radiology, The General Infirmary at Leeds, Leeds, UK. sonalkrishan11@gmail.com
McPherson
Simon
S
Pine
James
J
Hayden
Jeremy
J
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D015901:Angiography, Digital Subtraction; D001158:Arteries; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D021721:Balloon Occlusion / Q000295:instrumentation*; D004386:Duodenum / Q000098:blood supply*; D005260:Female; D006801:Humans; D008642:Mesenteric Veins / Q000000981:diagnostic imaging; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000000981:diagnostic imaging; D015607:Stents; D013270:Stomach / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome