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Successful endovascular treatment of bleeding aortoenteric fistula: a case report

Mark Shapiro1, Michael D Addis, Sharif H Ellozy

  • 1Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY 10029-6574, USA.

Annals of Vascular Surgery
|June 23, 2006
PubMed

Insights

Aortoenteric fistula (AEF), a rare complication of aortic repair, can be fatal. This case study shows successful endovascular stent graft repair for secondary AEF, offering a less invasive treatment option.

Area of Science:

  • Vascular Surgery
  • Gastroenterology

Background:

  • Aortoenteric fistula (AEF) is a rare but life-threatening complication following open abdominal aortic repair.
  • Untreated AEF has a 100% mortality rate.
  • Traditional surgical repair of secondary AEF (SAEF) carries high mortality (21-59%) and complication rates.

Observation:

  • A patient presented with acute gastrointestinal bleeding secondary to SAEF.
  • The patient's comorbidities precluded traditional open surgical repair.

Findings:

  • Successful endovascular stent graft repair of the SAEF was performed.
  • The patient demonstrated positive outcomes at 1-year follow-up with no signs of fistula recurrence.

Implications:

  • Endovascular stent graft repair presents a viable alternative treatment for AEF.
  • This minimally invasive approach may be particularly beneficial for patients unsuitable for open repair due to comorbidities.

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