title: Endovascular repair and pharmacotherapy of an inflammatory abdominal aortic aneurysm complicated by primary aortoduodenal fistula.
abstract: An inflammatory abdominal aortic aneurysm complicated by primary aortoduodenal fistula was successfully treated by stent grafting. Pharmacotherapy with octreotide after endovascular aneurysm repair was also performed with the expectation of spontaneous and rapid closure of the fistula. Gastrointestinal endoscopy performed 10 days after endovascular aneurysm repair showed closure of the large aortoduodenal fistula, and oral intake was started on the operative day 16. To date, 16 months after the initial operation, the patient is doing well without any symptoms or signs of infection and without any antibiotic therapy.
authors.affiliation: Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Kagawa, Japan.
authors.forename: Takanori
authors.initials: T
authors.lastname: Suezawa
authors.forename: Atsushi
authors.initials: A
authors.lastname: Aoki
authors.forename: Mamoru
authors.initials: M
authors.lastname: Tago
authors.forename: Norichika
authors.initials: N
authors.lastname: Iga
authors.forename: Koji
authors.initials: K
authors.lastname: Miyahara
authors.forename: Masaki
authors.initials: M
authors.lastname: Wato
authors.forename: Tomoki
authors.initials: T
authors.lastname: Inaba
authors.forename: Kozo
authors.initials: K
authors.lastname: Kawai
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002438:Cefoperazone / Q000627:therapeutic use; D004338:Drug Combinations; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016099:Endoscopy, Gastrointestinal; D057510:Endovascular Procedures / Q000295:instrumentation; D005765:Gastrointestinal Agents / Q000627:therapeutic use*; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008297:Male; D015282:Octreotide / Q000627:therapeutic use; D015607:Stents; D013407:Sulbactam / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D005765:Gastrointestinal Agents; D002438:Cefoperazone; D015282:Octreotide; D013407:Sulbactam