Recurrent aortic infections due to unrecognized aorto-enteric fistula

We report a case of an infrarenal abdominal aortic aneurysm (AAA) with unrecognized primary aortoduodenal fistula (ADF), treated by endovascular aortic repair (EVAR). Endograft infection was diagnosed 12 months thereafter. The associated ADF was uncovered during open surgery, which included endograft extraction, in-situ aortic reconstruction with a cryopreserved homograft (CHG) and duodenal repair. The patient was urgently reoperated in early postoperative course, due to CHG rupture and subsequent hemorrhagic shock.

Source: Annals of Vascular Surgery - October 13, 2019 Category: Surgery Authors: Petruni ć Mladen, Meštrović Tomislav, Halužan Damir, Perkov Dražen, Golemović Mirna, Golubić – Ćepulić Branka Tags: Case Report Source Type: research