• Eur J Vasc Endovasc Surg · Jan 2006

    Case Reports

    Staged endovascular stent-grafting and surgical treatment of a secondary aortoduodenal fistula.

    • F Biancari, P Romsi, J Perälä, V Koivukangas, R Cresti, and T Juvonen.
    • Department of Surgery, Oulu University Hospital, P.O. Box 21, 90229 Oulu, Finland. faustobiancari@yahoo.it
    • Eur J Vasc Endovasc Surg. 2006 Jan 1;31(1):42-3.

    AbstractSecondary aortoenteric fistula is a dramatic, rather infrequent late complication occurring mostly after abdominal aortic surgery. Currently, graft excision and in situ bypass is considered the treatment of choice, but it is associated with significant mortality and morbidity. Herein, we describe the case of a secondary aortoduodenal fistula treated by staged endovascular stent-grafting and surgical closure of the fistula. Forty days after stent-grafting, Tc-99m-HMPAO labelled leukocyte scanning failed to identify leukocyte infiltration of the graft and there were no clinical signs of infection. At 8-month follow up, the patient was asymptomatic.

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