Document Detail

Emergent endovascular treatment of a bleeding recurrent aortoenteric fistula as a "bridge" to definitive surgical repair.
MedLine Citation:
PMID:  22104343     Owner:  NLM     Status:  MEDLINE    
We report the case of a 59-year-old man who developed a recurrent aortoenteric fistula (AEF) following previous aorto-bifemoral bypass grafting and subsequent AEF open repair with aorto-bifemoral graft excision and extra-anatomic reconstruction. The patient was treated emergently by means of endovascular plug deployment via a left brachial approach into the infrarenal aortic stump, obtaining recovery of hemodynamic stability. Five days later, he underwent elective relaparotomy, aortic plug removal, infrarenal aortic ligature, and duodenal repair. Endovascular strategies to rapidly stop bleeding associated with recurrent AEF may serve as a "bridge" to definitive open repair, as in the case discussed herein. Even if rare, recurrent AEF following previous prosthetic aortic graft excision and extra-anatomic revascularization represents a dreadful event. Since surgical treatment is technically demanding and time consuming in emergent settings, we present an "unconventional" endovascular option to obtain quick cessation of aortic bleeding.
Enrico Maria Marone; Daniele Mascia; Andrea Kahlberg; Yamume Tshomba; Roberto Chiesa
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-11-21
Journal Detail:
Title:  Journal of vascular surgery     Volume:  55     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-02     Completed Date:  2012-05-30     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1160-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Division of Vascular Surgery, "Vita-Salute" University, San Raffaele Scientific Institute, Milan, Italy.
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MeSH Terms
Abdominal Pain / diagnosis,  etiology
Aortic Aneurysm, Abdominal / complications,  radiography,  surgery
Balloon Occlusion / instrumentation*,  methods
Combined Modality Therapy
Emergency Service, Hospital
Emergency Treatment / methods
Follow-Up Studies
Gastrointestinal Hemorrhage / etiology,  therapy*
Intestinal Fistula / complications,  therapy*
Middle Aged
Risk Assessment
Treatment Outcome
Vascular Fistula / complications,  therapy*
Vascular Surgical Procedures / methods*

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