Aortoduodenal fistula after endovascular stent-graft of an abdominal aortic aneurysm

J Vasc Surg. 2000 Jan;31(1 Pt 1):190-5. doi: 10.1016/s0741-5214(00)70081-4.

Abstract

Despite satisfying short- and middle-term effectiveness and feasibility, endovascular stent-grafting for abdominal aortic aneurysm is still under evaluation. We report a case of an aortoduodenal fistula after the use of this technique. Enlargement of the upper aneurysmal neck was followed by caudal migration of the major portion of the stent-graft, which resulted in kinking of the device in the aneurysmal sac. Ulcerations were found on adjacent portions of both the aneurysmal sac and the adjacent duodenum. Only the textile portion of the prosthetic contralateral limb separated the aortic lumen from the corresponding duodenal lumen. Early detection of complications after stent-grafting is essential to allow successful treatment, either surgical or endoluminal.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty / adverse effects*
  • Angioplasty / instrumentation
  • Angioplasty / methods
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / etiology*
  • Aortic Diseases / surgery
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Blood Vessel Prosthesis Implantation / methods
  • Duodenal Diseases / diagnostic imaging
  • Duodenal Diseases / etiology*
  • Duodenal Diseases / surgery
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology*
  • Foreign-Body Migration / surgery
  • Humans
  • Intestinal Fistula / diagnostic imaging
  • Intestinal Fistula / etiology*
  • Intestinal Fistula / surgery
  • Male
  • Middle Aged
  • Prosthesis Design
  • Prosthesis Failure
  • Stents / adverse effects*
  • Tomography, X-Ray Computed
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / etiology*
  • Vascular Fistula / surgery