Aortoduodenal Fistula After Endovascular Aortic Repair for an Inflammatory Abdominal Aortic Aneurysm: A Case Report.

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Abstrakt

Tytuł:: Aortoduodenal Fistula After Endovascular Aortic Repair for an Inflammatory Abdominal Aortic Aneurysm: A Case Report.
Autorzy:: Moriyama H; Department of Thoracic, Cardiovascular and General Surgery, 12858Kanazawa University, Ishikawa, Japan.
Kimura K; Department of Thoracic, Cardiovascular and General Surgery, 12858Kanazawa University, Ishikawa, Japan.
Takago S; Department of Thoracic, Cardiovascular and General Surgery, 12858Kanazawa University, Ishikawa, Japan.
Nishida Y; Department of Thoracic, Cardiovascular and General Surgery, 12858Kanazawa University, Ishikawa, Japan.
Shimada M; Department of Thoracic, Cardiovascular and General Surgery, 12858Kanazawa University, Ishikawa, Japan.
Takemura H; Department of Thoracic, Cardiovascular and General Surgery, 12858Kanazawa University, Ishikawa, Japan.
Źródło:: Vascular and endovascular surgery [Vasc Endovascular Surg] 2021 Jan; Vol. 55 (1), pp. 95-99. Date of Electronic Publication: 2020 Sep 02.
Typ publikacji:: Case Reports
Język:: English
Imprint Name(s):: Publication: Thousand Oaks, CA : Sage Publications
Original Publication: Glen Head, N.Y. : Westminster Publications, c2002-
MeSH Terms:: Aortic Aneurysm, Abdominal/*surgery
Blood Vessel Prosthesis/*adverse effects
Blood Vessel Prosthesis Implantation/*adverse effects
Duodenal Diseases/*microbiology
Endovascular Procedures/*adverse effects
Intestinal Fistula/*microbiology
Prosthesis-Related Infections/*microbiology
Pseudomonas Infections/*microbiology
Psoas Abscess/*microbiology
Vascular Fistula/*microbiology
Aged ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Blood Vessel Prosthesis Implantation/instrumentation ; Debridement ; Device Removal ; Duodenal Diseases/diagnostic imaging ; Duodenal Diseases/surgery ; Endovascular Procedures/instrumentation ; Humans ; Intestinal Fistula/diagnostic imaging ; Intestinal Fistula/surgery ; Male ; Omentum/surgery ; Prosthesis-Related Infections/diagnostic imaging ; Prosthesis-Related Infections/surgery ; Pseudomonas Infections/diagnostic imaging ; Pseudomonas Infections/surgery ; Psoas Abscess/diagnostic imaging ; Psoas Abscess/surgery ; Treatment Outcome ; Vascular Fistula/diagnostic imaging ; Vascular Fistula/surgery
Contributed Indexing:: Keywords: aortoenteric fistula; case report; endovascular aortic repair; in situ reconstruction; inflammatory abdominal aortic aneurysm; omental coverage
Entry Date(s):: Date Created: 20200903 Date Completed: 20201216 Latest Revision: 20201216
Update Code:: 20240104
DOI:: 10.1177/1538574420954307
PMID:: 32875968
: Raport

Aortoenteric fistula after endovascular aortic repair for an abdominal aortic aneurysm is a rare but severe complication. Particularly, a case of inflammatory abdominal aortic aneurysm is extremely rare and there are only 3 reported cases. A 70-year-old man underwent endovascular aortic repair for impending rupture of an inflammatory abdominal aortic aneurysm and was medicated steroids for approximately 2 years. Four years after endovascular aortic repair, he developed endograft infection with an aortoduodenal fistula and a left psoas abscess. He underwent total endograft excision, debridement, in situ reconstruction of the aorta using prosthetic grafts with omental coverage, and digestive tract reconstruction to prevent leakage. Pseudomonas aeruginosa was detected in the infected aortic sac. The patient has not experienced recurrence of infection in the 35 months since his operation.

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