Hybrid treatment of a post-EVAR aortoenteric fistula

作者：Sorelius Karl^*; Sundbom Magnus; Mani Kevin; Wanhainen Anders

来源：Vascular, 2014, 22(5): 385-389.

DOI：10.1177/1708538113501661

• Aortoenteric fistula
• endovascular
• hybrid
• infection
• anerurysm

This report presents a case of secondary aortoenteric fistula after endovascular aortic repair in a fragile patient: The fistula developed due to aneurysm shrinkage and remodeling of the stent graft, resulting in a kink eroding through the aneurysm wall into the duodenum. The aortoenteric fistula was successfully treated with a hybrid procedure with endovascular aortic repair, followed by open enteroraphy and omental flap coverage of the stent graft and local antibiotic irrigation. Despite the presence of the stent graft in a previously infected field, the patient has recovered from the acute event with no septic recurrence or hemorrhage during four years of follow-up.

• 出版日期2014-10