Aortoduodenal Fistula After Endovascular Abdominal Aortic Aneurysm Repair. (July 2020)

• Record Type: Journal Article
• Authors: Hosaka, Akihiro; Nemoto, Masaru; Motoki, Manabu; Akai, Atsushi; Kato, Masaaki
• Is Part Of: Vascular & endovascular surgery. Volume 54:Number 5(2020)
• Page Start: 445
• Page End: 448
• Publication Date: 2020-07
• Subjects: abdominal aortic aneurysm -- endovascular aneurysm repair -- aortoduodenal fistula; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574420918969
• Languages: English
• ISSNs: 1538-5744

Abstract

Aortoduodenal fistula after endovascular treatment of abdominal aortic aneurysm is a very rare but life-threatening complication. Herein, we describe 4 cases of aortoduodenal fistula diagnosed at 15 to 78 months after the index aortic intervention, all successfully treated by surgery. All patients underwent primary repair of the duodenal wall, creation of tube duodenostomy, stent graft removal, and in situ reconstruction using a rifampicin-soaked prosthesis. Patients received prolonged antibiotic treatment for at least 2 months postoperatively, and all were free of recurrent infection at follow-up. Prompt and appropriate surgical intervention is required to effectively manage this condition.