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- Title
Late-Term Complication of Endograft Repair for Aortoenteric Fistula.
- Authors
Lee, Burm; Neschis, David Gutherz
- Abstract
Aortoenteric fistula is a devastating complication of aortic aneurysm repair. Traditional repair carries a high risk of mortality and significant morbidity.While endograft repair can be effective at mitigating the immediate life-threatening bleed, the temptation to consider endograft repair as definitive treatment should be resisted. We present a case of a 72 year old male who developed an aortoenteric fistula four years following surgical repair of a ruptured aortic aneurysm. Four years thereafter the patient developed infection of the graft and required extra-anatomic bypass and excision of the infected graft. Endograft repair of aortoenteric fistula is associated with persistent infection and should be viewed as a temporizing measure. Here we present the case and review the literature regarding the treatment and outcome of this condition.
- Subjects
GERIATRIC surgery; AORTA surgery; AORTIC aneurysms; SURGICAL complications; ARTERIOARTERIAL fistula
- Publication
Vascular & Endovascular Surgery, 2010, Vol 44, Issue 5, p395
- ISSN
1538-5744
- Publication type
Case Study
- DOI
10.1177/1538574410366761