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Published on: August 1, 2025
Aortoduodenal fistula six weeks after EVAR for abdominal aortic aneurysm: a case report
H R Tromp1, S Vercauteren, A Nevelsteen
1Department of Vascular Surgery, UZ Gasthuisberg, Leuven, Belgium.
Abstract:
The technique of endovascular repair of abdominal aortic aneurysm has markedly improved over the years, showing a lower 30-day mortality rate compared to the open technique. Despite improvements, the percentage of reinterventions remains high due to late failure. A rare but severe complication of EVAR is the development of an aortoduodenal fistula, which has a very high mortality rate. The pathogenesis still remains unclear.
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