Cardiovascular Surgery and Interventions
2020, Vol 7, Num 3 Page(s): 193-198
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Aortoenteric fistulas: A case report and current status
Ahmet Coşkun Özdemir1, Hüseyin Gemalmaz2, Fatih Yılmaz3
1Department of Cardiovascular Surgery, Karadeniz Technical University School of Medicine, Trabzon, Turkey
2Department of Cardiovascular Surgery, Bahçelievler Memorial Hospital, Istanbul, Turkey
3Department of Cardiovascular Surgery, Batıkent Medical Park Hospital, Ankara, Turkey
Keywords: Aortoenteric fistula, axillobifemoral bypass graft enteric fistula, graft infection, in situ graft
Aortoenteric fistulas are rare, but mostly fatal if left untreated. Diagnosis and treatment are challenging. Aortoenteric fistulas can occur either as a complication of aortic aneurysm or, more commonly, secondary to previous aortic reconstructive surgery. Conventional treatment options are graft excision and extra-anatomic bypass or in situ graft replacement. This treatment is associated with high morbidity and mortality rates. Endovascular repair is an emerging therapeutic option. In this article, we describe a case of aortoenteric fistula which was not secondary to a previous reconstructive aortic surgery and discuss the diagnosis and treatment of these fistulas in the light of a comprehensive literature review.
Ahmet Coşkun Özdemir1, Hüseyin Gemalmaz2, Fatih Yılmaz3
1Department of Cardiovascular Surgery, Karadeniz Technical University School of Medicine, Trabzon, Turkey
2Department of Cardiovascular Surgery, Bahçelievler Memorial Hospital, Istanbul, Turkey
3Department of Cardiovascular Surgery, Batıkent Medical Park Hospital, Ankara, Turkey
Keywords: Aortoenteric fistula, axillobifemoral bypass graft enteric fistula, graft infection, in situ graft
Aortoenteric fistulas are rare, but mostly fatal if left untreated. Diagnosis and treatment are challenging. Aortoenteric fistulas can occur either as a complication of aortic aneurysm or, more commonly, secondary to previous aortic reconstructive surgery. Conventional treatment options are graft excision and extra-anatomic bypass or in situ graft replacement. This treatment is associated with high morbidity and mortality rates. Endovascular repair is an emerging therapeutic option. In this article, we describe a case of aortoenteric fistula which was not secondary to a previous reconstructive aortic surgery and discuss the diagnosis and treatment of these fistulas in the light of a comprehensive literature review.
DOI : 10.5606/e-cvsi.2020.954
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