scholarly journals Aortoduodenal fistula successfully treated with endovascular repair

2020 ◽  
Author(s):  
Junya Fuchigami ◽  
Kyohei Miyamoto ◽  
Naoaki Shibata ◽  
Takafumi Yonemitsu ◽  
Kentaro Ueda ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Aortoduodenal Fistula

Endovascular Repair of an Actively Hemorrhaging Aortoduodenal Fistula

2007 ◽  
Vol 21 (5) ◽  
pp. 629-632 ◽  
Author(s):  
Andrew R. Barleben ◽  
Mirza S. Baig ◽  
Stephen M. Kubaska ◽  
Roy M. Fujitani ◽  
Ian A. Gordon ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Aortoduodenal Fistula

Endovascular Repair of an Aortoduodenal Fistula

2000 ◽  
Vol 7 (4) ◽  
pp. 328-332 ◽  
Author(s):  
Mark K. Eskandari ◽  
Michel S. Makaroun ◽  
Kareem M. Abu-Elmagd ◽  
Timothy R. Billiar
Keyword(s):  
Endovascular Repair ◽  
Aortoduodenal Fistula

Endovascular treatment of two aortoduodenal fistulae

Vascular ◽  
2011 ◽  
Vol 19 (5) ◽  
pp. 277-281 ◽  
Author(s):  
Susana Cancer Pérez ◽  
Fernando Criado Galán ◽  
Enrique Puras Mallagray ◽  
Juan B Grau ◽  
Carmen Fiuza Marco
Keyword(s):  
Endovascular Treatment ◽  
Endovascular Repair ◽  
Close Contact ◽  
Chronic Obstructive ◽  
Aortoduodenal Fistula ◽  
Surgical Morbidity ◽  
Obstructive Pulmonary Disease ◽  
Aortic Pseudoaneurysm ◽  
Abdominal Aortic ◽  
Open Surgical Procedure

We report the endovascular treatment of two patients presenting with aortoduodenal fistulae. The first patient was a 66-year-old man admitted with hematemesis. He was on clopidogrel and had received a cryopreserved aortic graft for a mycotic abdominal aortic aneurysm five years earlier. Computed tomography (CT) showed aortic pseudoaneurysms in close contact with the duodenum. Endovascular repair was carried out. Twenty-seven months after the procedure the patient remains asymptomatic. The second patient was a 78-year-old man admitted with abdominal pain and nausea. CT revealed an abdominal aortic pseudoaneurysm and aortoduodenal fistula. He suffered from severe chronic obstructive pulmonary disease that greatly increased his surgical morbidity and mortality. An endovascular repair was performed under epidural anesthesia. The patient died of a postoperative pneumonia 38 days after surgery. These two cases illustrate the importance of endovascular aortic repair especially when an open surgical procedure is either difficult or impossible.

Aortoduodenal fistula 2 years after elective endovascular repair of an abdominal aortic aneurysm

2020 ◽  
Vol 90 (11) ◽  
pp. 2374-2376 ◽  
Author(s):  
Chu Luan Nguyen ◽  
Andrew Lindsay ◽  
Rohan McLachlan ◽  
Samiul Islam ◽  
Raffi Qasabian ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic

Endovascular Repair of an Aortoduodenal Fistula

2000 ◽  
Vol 7 (4) ◽  
pp. 328-332 ◽  
Author(s):  
Mark K. Eskandari ◽  
Michel S. Makaroun ◽  
Kareem M. Abu-Elmagd ◽  
Timothy R. Billiar
Keyword(s):  
Endovascular Repair ◽  
Aortoduodenal Fistula

scholarly journals Endovascular Repair with a Stent Graft in a Patient with Aortoduodenal Fistula after Radiation Therapy

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Kazuhiko Morikawa ◽  
Hirokazu Ashida ◽  
Yosuke Nozawa ◽  
Kenji Motohashi ◽  
Takao Igarashi ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Stent Graft ◽  
Abdominal Aorta ◽  
Endovascular Repair ◽  
Aortoduodenal Fistula ◽  
Vascular Intervention ◽  
Hemodynamic State ◽  
Massive Gastrointestinal Bleeding ◽  
Atherosclerotic Aneurysm ◽  
Enhanced Computed Tomography

Primary aortoduodenal fistula (ADF) is a direct communication between the abdominal aorta and the gastrointestinal tract without any previous vascular intervention and represents a rare but critical cause of repeated and massive gastrointestinal bleeding. Primary ADF often occurs as a result of atherosclerotic aneurysm and infection, but ADF involving a normal-size aorta is rare; furthermore, ADF related to radiation therapy is extremely rare. We present the case of a 56-year-old man with a history of bowel obstruction due to radiation enteritis who was admitted with severe hematemesis and hemorrhagic shock. Gastroduodenal endoscopy and contrast-enhanced computed tomography findings were unremarkable. Aortoduodenal fistula was suspected based on the diffuse calcification of the abdominal aorta confined to the radiation field and the presence of an aortoduodenal communication on angiography. Endovascular repair with a stent graft seemed to be a safer option than open surgery and was suited to the rapid control of bleeding from ADF because of the patients’ unstable hemodynamic state and the presence of intestinal adhesions. The fistula was successfully sealed by endovascular stent graft placement. Hematemesis did not recur postoperatively and anemia gradually improved. The patient died from pneumonia 33 days later.

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