Aortoduodenal fistula after abdominal aortic stent graft presenting with extremity abscesses

Aortoenteric fistula (AEF) has been described after endovascular stent graft repair of abdominal aortic aneurysms (EVAR). AEF after EVAR has been associated with aneurysm growth, endoleak, migration, and aortic inflammation. We report a patient with an AEF presenting 2 years after EVAR with two absc...

Full description

Saved in:
Bibliographic Details
Published inVascular Vol. 13; no. 5; p. 305
Main Authors Lyden, Sean P, Tanquilut, Eugene M, Gavin, Timothy J, Adams, Julie E
Format Journal Article
LanguageEnglish
Published England 01.09.2005
Subjects
Abscess - etiology
Aged
Aortic Aneurysm, Abdominal - surgery
Aortic Diseases - etiology
Blood Vessel Prosthesis Implantation - methods
Duodenal Diseases - etiology
Humans
Intestinal Fistula - etiology
Leg
Male
Postoperative Complications - etiology
Stents - adverse effects
Vascular Fistula - etiology
Online AccessGet more information

Cover

More Information
Summary:Aortoenteric fistula (AEF) has been described after endovascular stent graft repair of abdominal aortic aneurysms (EVAR). AEF after EVAR has been associated with aneurysm growth, endoleak, migration, and aortic inflammation. We report a patient with an AEF presenting 2 years after EVAR with two abscesses in the right leg. A computed tomographic scan showed a gas-filled thrombus lining the right limb of his graft. At conversion, no endoleak, device migration, or residual aneurysm sac was found. AEF can occur after endoluminal stent graft (ELG) in the absence of aneurysm growth, endoleak, migration, or inflammation. AEF can cause ELG infection and extremity infection.
ISSN:1708-5381
DOI:10.1258/rsmvasc.13.5.305