AI Article Synopsis
- Secondary aorto-enteric fistulae (SAEF) are serious, rare complications that can happen after placing a graft to fix an aortic aneurysm or blockage.
- Traditional surgeries to treat this condition have a high risk of death, ranging from 25% to 90%.
- A new case was successfully treated using a less invasive method involving a stent graft, along with duodenojejunal resection and anastomosis, without needing to remove the existing graft or reconstruct the aorta.
Article Abstract
Secondary aorto-enteric fistulae (SAEF) are rare life-threatening complications that occur after abdominal aortic graft implant to treat aortic aneurysm or occlusive disease. Conventional treatments such as extra-anatomic bypass grafting with aortic ligation and subsequent graft removal with bowel repair are associated with a 25% to 90% operative mortality rate. In the emergency setting, patients unsuitable for major arterial surgery may benefit from a staged, less invasive approach. We present a case of SAEF treated with endoluminal deployment of a stent graft followed by duodenojejunal resection and anastomosis without further aortic reconstruction and graft removal.
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| http://dx.doi.org/10.1080/13645706.2019.1581623 | DOI Listing |
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