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Hybrid treatment of a post-EVAR aortoenteric fistula
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Upper Abdominal Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
2014 (English)In: Vascular, ISSN 1708-5381, E-ISSN 1708-539X, Vol. 22, no 5, 385-389 p.Article in journal (Refereed) Published
Abstract [en]

This report presents a case of secondary aortoenteric fistula after endovascular aortic repair in a fragile patient: The fistula developed due to aneurysm shrinkage and remodeling of the stent graft, resulting in a kink eroding through the aneurysm wall into the duodenum. The aortoenteric fistula was successfully treated with a hybrid procedure with endovascular aortic repair, followed by open enteroraphy and omental flap coverage of the stent graft and local antibiotic irrigation. Despite the presence of the stent graft in a previously infected field, the patient has recovered from the acute event with no septic recurrence or hemorrhage during four years of follow-up.

Place, publisher, year, edition, pages
2014. Vol. 22, no 5, 385-389 p.
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:uu:diva-215736DOI: 10.1177/1708538113501661ISI: 000342919200016PubMedID: 24003008OAI: oai:DiVA.org:uu-215736DiVA: diva2:688290
Available from: 2014-01-16 Created: 2014-01-16 Last updated: 2017-12-06Bibliographically approved

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Sörelius, KarlSundbom, MagnusMani, KevinWanhainen, Anders

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