Aortoduodenal fistulas after endovascular abdominal aortic aneurysm repair and open aortic repair

Aortoduodenal fistula after repair of a stab injury to the abdominal aorta

“…These have included the following: (1) excision of the aortic graft, oversewing of the abdominal aortic stump, axillobifemoral bypass, duodenal repair or resection/anastomosis; (2) excision of the aortic graft, insertion of an in situ antibiotic-impregnated new graft, duodenal repair; (3) injection of a sealant into the fistula, insertion of an endovascular stent graft as a temporizing maneuver in critically ill patients, later replacement of the stent graft and abdominal aorta; and (4) insertion of an endovascular stent graft, lifelong antibiotic therapy in a patient with severe medical comorbidities and a projected limited lifespan. [4][5][6][7][8][9][10][11][12][13]…”

Aortoenteric fistula following endovascular abdominal aortic aneurysm repair

“… 3 , 15 , 16 The development of an aortoenteric fistula after EVAR has been encountered more infrequently, with an observed incidence of 0.25% to 3.6%. 2 , 3 , 4 , 5 , 6 , 7 , 8 The in-hospital pooled mortality rates for patients who have undergone open or endovascular repair for aortoenteric fistula has been 30.7%. 17 The mortality rates for those patients who have not sought timely surgical management and for those for whom surgery was not a viable option are likely much higher.…”

“…3,15,16 Development of aortoenteric fistula following EVAR is more infrequently encountered, with an observed incidence between 0.25-3.6%. [2][3][4][5][6][7] The in-hospital pooled mortality rates of patients undergoing open or endovascular repair for aortoenteric fistula is 30.7%. 17 Mortality rates of J o u r n a l P r e -p r o o f 6 those patients who do not seek timely surgical management, or those in which surgery is not a viable option, are likely much higher.…”

“… 1 This complication has been even more infrequently encountered after endovascular abdominal aortic aneurysm repair (EVAR), with a reported incidence of 0.25% to 3.6%. 2 , 3 , 4 , 5 , 6 , 7 , 8 This estimate has been primarily derived from single-institution retrospective studies and case series, which might inadequately represent the true, exceedingly low, incidence of this complication. Lipsitz et al 4 reported one case of an aortoenteric fistula after 386 EVARs during an 11-year period.…”

Systematische Übersichtsarbeit: aortale Komplikationen nach intravesikaler Bacillus Calmette-Guérin-Behandlung

“…Es sollte die gesamte thorakoabdominelle Aorta untersucht werden, wobei die prädisponierte Lokalisation einer aortalen BCG-Komplikation das infrarenale Aortensegment ist. Bei begleitenden Hämoptysen oder Zeichen einer gastrointestinalen Blutung sollte an die seltenen Fälle eines fistulierenden Prozesses gedacht werden [70,71]. Trotz der Tatsache, dass die Mehrheit der mykotischen Aneurysmen als intakt beschrieben wurden, sollte bei neu aufgetretenen Bauch-oder Rückenschmerzen auch eine Aortenruptur in Betracht gezogen werden.…”