Aortoenteric fistula: A late complication of endovascular repair of an inflammatory abdominal aortic aneurysm

Elizabeth Ratchford, Nicholas J. Morrissey

Research output: Contribution to journalArticle

Abstract

Endovascular repair provides a reasonable alternative to open repair for the treatment of abdominal aortic aneurysms in select cases. Although the endovascular approach may be preferable for inflammatory aneurysms, aggressive surveillance is needed to monitor for long-term complications. A 61-year-old man underwent endovascular exclusion of a symptomatic inflammatory abdominal aortic aneurysm with an AneuRx bifurcated aortic prosthesis. He presented with gastrointestinal bleeding 51/2 months later and was found to have an aortoenteric fistula involving the third portion of the duodenum. The aneurysm had expanded significantly at the proximal neck. The patient underwent successful removal of the device, aortic ligation, and extraanatomic bypass. Aortoenteric fistula is a rare but now established complication of endovascular aneurysm repair. The pathophysiology in these cases remains unclear. The presence of inflammation and endoleak may predispose to further aneurysmal degeneration.

Original languageEnglish (US)
Pages (from-to)487-491
Number of pages5
JournalVascular and Endovascular Surgery
Volume40
Issue number6
DOIs
Publication statusPublished - Dec 2006
Externally publishedYes

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Keywords

  • Aortoenteric fistula
  • Endovascular aneurysm repair
  • Inflammatory abdominal aortic aneurysm

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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