Recurrence of Aortoenteric Fistula after Endovascular Aortic Repair

Aortoenteric fistula (AEF) after endovascular aortic repair (EVAR) is a rare complication, with only 32 cases reported previously. A 71-year-old man who presented with severe duodenal bleeding due to primary AEF (PAEF) underwent successful EVAR. Four years later, the AEF recurred because of dilatati...

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Autores principales: Arima, Daisuke, Suematsu, Yoshihiro, Kurahashi, Kanan, Shimizu, Takaharu, Nishi, Satoshi, Yoshimoto, Akihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140165/
https://www.ncbi.nlm.nih.gov/pubmed/32273930
http://dx.doi.org/10.3400/avd.cr.19-00106
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author Arima, Daisuke
Suematsu, Yoshihiro
Kurahashi, Kanan
Shimizu, Takaharu
Nishi, Satoshi
Yoshimoto, Akihiro
author_facet Arima, Daisuke
Suematsu, Yoshihiro
Kurahashi, Kanan
Shimizu, Takaharu
Nishi, Satoshi
Yoshimoto, Akihiro
author_sort Arima, Daisuke
collection PubMed
description Aortoenteric fistula (AEF) after endovascular aortic repair (EVAR) is a rare complication, with only 32 cases reported previously. A 71-year-old man who presented with severe duodenal bleeding due to primary AEF (PAEF) underwent successful EVAR. Four years later, the AEF recurred because of dilatation of the aneurysm sac. He underwent emergent surgery, removal of the stent graft, and replacement of an artificial bifurcated graft with placement of a greater omental flap. EVAR for PAEF was an effective option for acute treatment, but it caused refistulization in the long term. EVAR should be considered as a bridge therapy to definitive surgery.
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spelling pubmed-71401652020-04-09 Recurrence of Aortoenteric Fistula after Endovascular Aortic Repair Arima, Daisuke Suematsu, Yoshihiro Kurahashi, Kanan Shimizu, Takaharu Nishi, Satoshi Yoshimoto, Akihiro Ann Vasc Dis Case Report Aortoenteric fistula (AEF) after endovascular aortic repair (EVAR) is a rare complication, with only 32 cases reported previously. A 71-year-old man who presented with severe duodenal bleeding due to primary AEF (PAEF) underwent successful EVAR. Four years later, the AEF recurred because of dilatation of the aneurysm sac. He underwent emergent surgery, removal of the stent graft, and replacement of an artificial bifurcated graft with placement of a greater omental flap. EVAR for PAEF was an effective option for acute treatment, but it caused refistulization in the long term. EVAR should be considered as a bridge therapy to definitive surgery. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020-03-25 /pmc/articles/PMC7140165/ /pubmed/32273930 http://dx.doi.org/10.3400/avd.cr.19-00106 Text en Copyright © 2020 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2020 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Arima, Daisuke
Suematsu, Yoshihiro
Kurahashi, Kanan
Shimizu, Takaharu
Nishi, Satoshi
Yoshimoto, Akihiro
Recurrence of Aortoenteric Fistula after Endovascular Aortic Repair
title Recurrence of Aortoenteric Fistula after Endovascular Aortic Repair
title_full Recurrence of Aortoenteric Fistula after Endovascular Aortic Repair
title_fullStr Recurrence of Aortoenteric Fistula after Endovascular Aortic Repair
title_full_unstemmed Recurrence of Aortoenteric Fistula after Endovascular Aortic Repair
title_short Recurrence of Aortoenteric Fistula after Endovascular Aortic Repair
title_sort recurrence of aortoenteric fistula after endovascular aortic repair
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140165/
https://www.ncbi.nlm.nih.gov/pubmed/32273930
http://dx.doi.org/10.3400/avd.cr.19-00106
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