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- Title
Aortoduodenal Fistula After Endovascular Aortic Repair for an Inflammatory Abdominal Aortic Aneurysm: A Case Report.
- Authors
Moriyama, Hideki; Kimura, Keiichi; Takago, Shintaro; Nishida, Yoji; Shimada, Mari; Takemura, Hirofumi
- Abstract
Aortoenteric fistula after endovascular aortic repair for an abdominal aortic aneurysm is a rare but severe complication. Particularly, a case of inflammatory abdominal aortic aneurysm is extremely rare and there are only 3 reported cases. A 70-year-old man underwent endovascular aortic repair for impending rupture of an inflammatory abdominal aortic aneurysm and was medicated steroids for approximately 2 years. Four years after endovascular aortic repair, he developed endograft infection with an aortoduodenal fistula and a left psoas abscess. He underwent total endograft excision, debridement, in situ reconstruction of the aorta using prosthetic grafts with omental coverage, and digestive tract reconstruction to prevent leakage. Pseudomonas aeruginosa was detected in the infected aortic sac. The patient has not experienced recurrence of infection in the 35 months since his operation.
- Subjects
ABDOMINAL aortic aneurysms; AORTA; ENDOVASCULAR surgery; COMPUTED tomography; DEBRIDEMENT; INTESTINAL fistula; PSEUDOMONAS; RARE diseases; SURGICAL complications; PLASTIC surgery; PSOAS abscess
- Publication
Vascular & Endovascular Surgery, 2021, Vol 55, Issue 1, p95
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574420954307