Successful use of endovascular aneurysm repair in the treatment of acute aortoduodenal syndrome

Aortoduodenal syndrome is a rare phenomenon, described as a duodenal obstruction secondary to direct compression from an abdominal aortic aneurysm. Although traditionally managed with gastrointestinal bypass and subsequent open aortic aneurysm repair, such procedures hold high mortality. Therefore, there is great value in treating this syndrome with an endovascular, minimally invasive technique that is both consistent and successful. This case report recounts how an endovascular aneurysm repair successfully treated a patient with acute aortoduodenal syndrome. No postoperative complications occurred and the duodenal obstruction was relieved without the need for surgical re-intervention. This conveys the advantageous utility of endovascular aneurysm repair in treating patients with aortoduodenal syndrome.