Relato de caso de tratamento endovascular de fístula aorto-entérica secundária

Abstract

O tratamento tradicional da fístula aorto-entérica secundária baseia-se na retirada cirúrgica da prótese, desbridamento aórtico, enxerto extra-anatômico, ou in situ, nos casos em que o campo cirúrgico apresenta-se sem sinais de infecção. Recentemente, alguns autores vêm preconizando o tratamento endovascular em pacientes instáveis e com alto risco cirúrgico. Apresentamos um relato de caso de paciente portador de fístula aorto-entérica secundária tratado inicialmente por via endovascular.

Diagnóstico endoscópico de fístula aortoentérica primária: relato de caso

“…However, the patient was found hemodynamically unstable. Therefore the surgical procedure was postponed, as in these cases, there is a high rate of mortality 8 . The gold-standard treatment for PAEF is conventional surgery, performing an anatomical in situ repair with an aortic graft or extra-anatomical graft in cases of infection 2 .…”

“…The gold-standard treatment for PAEF is conventional surgery, performing an anatomical in situ repair with an aortic graft or extra-anatomical graft in cases of infection 2 . However, in unstable patients, without signs of sepsis and severe infection, the endovascular treatment with a bifurcated aortic endoprosthesis can be possible as an initial alternative for controlling bleeding and achieving acceptable results medium and short-term in secondary AEF 8 .…”