An endoluminal aortic prosthesis infection presenting as pneumoaorta and aortoduodenal fistula.
Herein, we present a case of pneumoaorta and aortoduodenal fistula (ADF) caused by an endoluminal aortic prosthesis infection. An 82-year-old man underwent endovascular aneurysm repair with a stent graft to exclude a 5.1-cm abdominal aortic aneurysm. Three months after the index procedure, the patient was taken to the emergency department at a medical university hospital. He presented with a 2-d history of bloody diarrhea. An endoluminal aortic stent graft infection was diagnosed, and an ADF was identified. The patient died of septic shock despite emergency surgery and intensive care. When encountered, stent graft infections require appropriate antibiotics and graft explantation. The diagnosis of an ADF is important, and surgery remains the most effective management if septic shock presents despite conservative treatment.
Division of Cardiology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei 11031, Taiwan, China.
Yung-Ta
YT
Kao
Chun-Ming
CM
Shih
Feng-Yen
FY
Lin
Nai-Wen
NW
Tsao
Nen-Chung
NC
Chang
Chun-Yao
CY
Huang
D000369:Aged, 80 and over; D000783:Aneurysm / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D004378:Duodenal Diseases / Q000175:diagnosis*; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis*; D008297:Male; D011183:Postoperative Complications; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000401:mortality; D012772:Shock, Septic / Q000401:mortality; D014057:Tomography, X-Ray Computed / Q000379:methods; D016157:Vascular Fistula / Q000175:diagnosis*