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Published in: CardioVascular and Interventional Radiology 5/2011

01-10-2011 | Case Report

Endovascular Repair of a Secondary Aorto-Appendiceal Fistula

Authors: Donald M. L. Tse, Andrew R. A. Thompson, Jeremy Perkins, Mark J. Bratby, Susan Anthony, Raman Uberoi

Published in: CardioVascular and Interventional Radiology | Issue 5/2011

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Abstract

Aortoenteric fistula (AEF) is an uncommon but serious complication occurring after aortic surgery and may occur at any site in the gastrointestinal tract, with the duodenum being the most common. Conventional surgical repair of secondary AEF has high mortality, whereas endovascular repair has emerged as an alternative treatment despite concerns about persistent or recurrent infection. We report the case of a 91-year old man who was admitted with rectal bleeding from an aorto-appendiceal fistula 9 years after open abdominal aortic aneurysm repair. This rare site for AEF was diagnosed on computed tomography, and we present the first case of endovascular treatment of this uncommon complication.
Literature
1.
go back to reference Bernhard VM (1985) Aortoenteric fistula. In: Bernhard VM, Towne JB (eds) Complications in vascular surgery. Grune & Stratton, Orlando, pp 513–525 Bernhard VM (1985) Aortoenteric fistula. In: Bernhard VM, Towne JB (eds) Complications in vascular surgery. Grune & Stratton, Orlando, pp 513–525
2.
go back to reference Dorigo W, Pulli R, Azas L et al (2003) Early and long-term results of conventional surgical treatment of secondary aortoenteric fistula. Eur J Vasc Endovasc Surg 26:512–518PubMedCrossRef Dorigo W, Pulli R, Azas L et al (2003) Early and long-term results of conventional surgical treatment of secondary aortoenteric fistula. Eur J Vasc Endovasc Surg 26:512–518PubMedCrossRef
3.
go back to reference Montgomery RS, Wilson SE (1996) The surgical management of aorto-enteric fistulas. Surg Clin North Am 76:1147–1157PubMedCrossRef Montgomery RS, Wilson SE (1996) The surgical management of aorto-enteric fistulas. Surg Clin North Am 76:1147–1157PubMedCrossRef
4.
go back to reference Brountzos EN, Vasdekis S, Kostopanagiotou G et al (2007) Endovascular treatment of a bleeding secondary aorto-enteric fistula. A case report with 1-year follow-up. Cardiovasc Intervent Radiol 30:1037–1041PubMedCrossRef Brountzos EN, Vasdekis S, Kostopanagiotou G et al (2007) Endovascular treatment of a bleeding secondary aorto-enteric fistula. A case report with 1-year follow-up. Cardiovasc Intervent Radiol 30:1037–1041PubMedCrossRef
5.
go back to reference Byrne DS, McGregor JR (1992) Aortoappendiceal fistula: a case report. J R Coll Surg Edinb 37:254–255PubMed Byrne DS, McGregor JR (1992) Aortoappendiceal fistula: a case report. J R Coll Surg Edinb 37:254–255PubMed
6.
go back to reference Monaghan K, Cogbill TH (2002) Primary aortoappendiceal fistula: case report and review of the literature. J Vasc Surg 35:1284–1286PubMedCrossRef Monaghan K, Cogbill TH (2002) Primary aortoappendiceal fistula: case report and review of the literature. J Vasc Surg 35:1284–1286PubMedCrossRef
7.
go back to reference O’Connor S, Andrew P, Batt M, Becquemin JP (2006) A systematic review and meta-analysis of treatments for aortic graft infection. J Vasc Surg 44:38–45PubMedCrossRef O’Connor S, Andrew P, Batt M, Becquemin JP (2006) A systematic review and meta-analysis of treatments for aortic graft infection. J Vasc Surg 44:38–45PubMedCrossRef
8.
go back to reference Alimi Y, Julian C (1995) Late complications of abdominal aortic prostheses: false aneurysms and aorto-digestive fistulas. J Mal Vasc 3:172–176 Alimi Y, Julian C (1995) Late complications of abdominal aortic prostheses: false aneurysms and aorto-digestive fistulas. J Mal Vasc 3:172–176
9.
go back to reference Antoniou GA, Koutsias S, Antoniou SA et al (2009) Outcome after endovascular stent graft repair of aortoenteric fistula: a systematic review. J Vasc Surg 49:782–789PubMedCrossRef Antoniou GA, Koutsias S, Antoniou SA et al (2009) Outcome after endovascular stent graft repair of aortoenteric fistula: a systematic review. J Vasc Surg 49:782–789PubMedCrossRef
10.
go back to reference Danneels MIL, Verhagen HJM, Teijink JAW et al (2006) Endovascular repair for aorto-enteric fistula: a bridge too far or a bridge to surgery? Eur J Vasc Endovasc Surg 32:27–33PubMedCrossRef Danneels MIL, Verhagen HJM, Teijink JAW et al (2006) Endovascular repair for aorto-enteric fistula: a bridge too far or a bridge to surgery? Eur J Vasc Endovasc Surg 32:27–33PubMedCrossRef
Metadata
Title
Endovascular Repair of a Secondary Aorto-Appendiceal Fistula
Authors
Donald M. L. Tse
Andrew R. A. Thompson
Jeremy Perkins
Mark J. Bratby
Susan Anthony
Raman Uberoi
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 5/2011
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-011-0121-2

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