Recurrent Aortic Infections Due to Unrecognized Aorto-Enteric Fistula.
Aortic Aneurysm, Abdominal
/ complications
Blood Vessel Prosthesis
/ adverse effects
Blood Vessel Prosthesis Implantation
/ adverse effects
Device Removal
Duodenal Diseases
/ complications
Endovascular Procedures
/ adverse effects
Humans
Intestinal Fistula
/ complications
Male
Middle Aged
Prosthesis-Related Infections
/ diagnosis
Recurrence
Reoperation
Treatment Outcome
Vascular Fistula
/ complications
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
20
11
2018
revised:
26
07
2019
accepted:
26
07
2019
pubmed:
18
10
2019
medline:
7
7
2020
entrez:
18
10
2019
Statut:
ppublish
Résumé
We report a case of an infrarenal abdominal aortic aneurysm (AAA) with unrecognized primary aortoduodenal fistula (ADF), treated by endovascular aortic repair (EVAR). Endograft infection was diagnosed 12 months thereafter. The associated ADF was uncovered during open surgery, which included endograft extraction, in situ aortic reconstruction with a cryopreserved homograft (CHG) and duodenal repair. The patient was urgently reoperated in the early postoperative course, due to CHG rupture and subsequent hemorrhagic shock. After establishing control of hemorrhage, CHG was explanted, followed by aortic ligation and extraanatomical reconstruction with axillofemoral bypass. The importance of timely diagnosis of primary ADF prior to AAA repair, as well as treatment options and optimal materials for simultaneous aortic and bowel reconstruction in the setting of primary or secondary ADF, are discussed.
Identifiants
pubmed: 31622759
pii: S0890-5096(19)30775-7
doi: 10.1016/j.avsg.2019.07.027
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
455.e11-455.e15Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.