Emergent endovascular treatment of a bleeding recurrent aortoenteric fistula as a "bridge" to definitive surgical repair

Enrico Maria Marone, Daniele Mascia, Andrea Kahlberg, Yamume Tshomba, Roberto Chiesa

Research output: Contribution to journalArticle

Abstract

We report the case of a 59-year-old man who developed a recurrent aortoenteric fistula (AEF) following previous aorto-bifemoral bypass grafting and subsequent AEF open repair with aorto-bifemoral graft excision and extra-anatomic reconstruction. The patient was treated emergently by means of endovascular plug deployment via a left brachial approach into the infrarenal aortic stump, obtaining recovery of hemodynamic stability. Five days later, he underwent elective relaparotomy, aortic plug removal, infrarenal aortic ligature, and duodenal repair. Endovascular strategies to rapidly stop bleeding associated with recurrent AEF may serve as a "bridge" to definitive open repair, as in the case discussed herein. Even if rare, recurrent AEF following previous prosthetic aortic graft excision and extra-anatomic revascularization represents a dreadful event. Since surgical treatment is technically demanding and time consuming in emergent settings, we present an "unconventional" endovascular option to obtain quick cessation of aortic bleeding.

Original languageEnglish
Pages (from-to)1160-1163
Number of pages4
JournalJournal of Vascular Surgery
Volume55
Issue number4
DOIs
Publication statusPublished - Apr 2012

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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