Aortoenteric fistula development following endovascular abdominal aortic aneurysm repair: a case report

Ann Vasc Surg. 2003 Mar;17(2):119-22. doi: 10.1007/s10016-001-0397-9. Epub 2003 Mar 6.

Abstract

Aortoenteric fistulae (AEF) are now known to occur following endovascular repair of abdominal aortic aneurysms (AAA), presumably because of mechanical forces of dislodged or migrating devices. We present an unusual case of fistula development between the ileum and an AAA presenting as a graft infection following endovascular AAA repair in the absence of direct mechanical strain. Continued pressurization of the aneurysm sac due to endoleak may predispose to this event, especially in large aneurysms. Aggressive surveillance and early interventions are necessary following all endovascular AAA repairs.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty / adverse effects*
  • Aortic Aneurysm, Abdominal / surgery
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / etiology*
  • Aortic Diseases / surgery
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Humans
  • Ileal Diseases / diagnostic imaging
  • Ileal Diseases / etiology*
  • Ileal Diseases / surgery
  • Intestinal Fistula / diagnostic imaging
  • Intestinal Fistula / etiology*
  • Intestinal Fistula / surgery
  • Male
  • Prosthesis-Related Infections / diagnostic imaging
  • Prosthesis-Related Infections / etiology*
  • Prosthesis-Related Infections / surgery
  • Stents / adverse effects*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Surgical Procedures / methods