Aortoenteric Fistula Treated With Endovascular Aortic Stent-Graft and Bilateral Chimney Stent-Grafts to Renal Arteries

被引:9
作者
Tan, Glenn Wei Leong [1 ]
Wong, Daniel [2 ]
Punamiya, Sundeep [2 ]
Tan, Bien Peng [2 ]
Vu, Charles [3 ]
Ang, Brenda [4 ]
Foo, David [5 ]
Chia, Kok Hoong [1 ]
机构
[1] Tan Tock Seng Hosp, Dept Gen Surg, Vasc Surg Serv, Singapore G3 7RH, Singapore
[2] Tan Tock Seng Hosp, Dept Radiol, Intervent Radiol Serv, Singapore G3 7RH, Singapore
[3] Tan Tock Seng Hosp, Dept Gastroenterol, Div Med, Singapore G3 7RH, Singapore
[4] Tan Tock Seng Hosp, Dept Infect Dis, Div Med, Singapore G3 7RH, Singapore
[5] Tan Tock Seng Hosp, Dept Cardiol, Div Med, Singapore G3 7RH, Singapore
关键词
MANAGEMENT; REPAIR;
D O I
10.1016/j.avsg.2011.07.018
中图分类号
R61 [外科手术学];
学科分类号
摘要
We report a patient with secondary aortoenteric fistula (AEF) presenting with a rectal bleeding. The patient had multiple comorbidities, precluding major open vascular surgery. We opted to perform a two-stage procedure, where an endovascular stent-graft was first deployed to exclude the AEF from the systemic circulation. As the AEF was at the proximal anastomosis of the previous Dacron graft and close to the renal artery ostia, chimney stent-grafts were placed in both renal arteries to maintain their patency. The second stage of the procedure involved a laparotomy to repair the defect in the duodenum to prevent further contamination from bowel contents.
引用
收藏
页码:422.e13 / 422.e16
页数:4
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