Primary aortoenteric fistula and endovascular repair

Senthil Jayarajan, Lena M. Napolitano, John E. Rectenwald, Gilbert R. Upchurch

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Primary aortoenteric fistulae are difficult conditions to diagnose and manage. A 35-year-old male developed massive upper gastrointestinal hemorrhage due to a primary aortoduodenal fistula. Previous radiation therapy and retroperitoneal lymph node dissection for germ cell cancer with resultant dense retroperitoneal fibrosis made open aortic repair impossible. Endovascular balloon occlusion of the aorta and stent graft repair of the primary aortoduodenal fistula was performed. At 1-year follow-up, there is no clinical or radiographic evidence of stent-graft infection. Endovascular techniques and repair are important approaches to consider during the management of complicated primary aortoenteric fistulae when open surgical repair is not feasible.

Original languageEnglish (US)
Pages (from-to)592-596
Number of pages5
JournalVascular and Endovascular Surgery
Volume43
Issue number6
DOIs
StatePublished - Dec 1 2009

Fingerprint

Fistula
Stents
Retroperitoneal Fibrosis
Transplants
Balloon Occlusion
Endovascular Procedures
Gastrointestinal Hemorrhage
Germ Cell and Embryonal Neoplasms
Lymph Node Excision
Aorta
Radiotherapy
Infection

Keywords

  • Aorta
  • Aortoduodenal fistula
  • Aortoenteric fistula
  • Endograft
  • Endovascular

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Jayarajan, S., Napolitano, L. M., Rectenwald, J. E., & Upchurch, G. R. (2009). Primary aortoenteric fistula and endovascular repair. Vascular and Endovascular Surgery, 43(6), 592-596. https://doi.org/10.1177/1538574409335275

Primary aortoenteric fistula and endovascular repair. / Jayarajan, Senthil; Napolitano, Lena M.; Rectenwald, John E.; Upchurch, Gilbert R.

In: Vascular and Endovascular Surgery, Vol. 43, No. 6, 01.12.2009, p. 592-596.

Research output: Contribution to journalArticle

Jayarajan, S, Napolitano, LM, Rectenwald, JE & Upchurch, GR 2009, 'Primary aortoenteric fistula and endovascular repair', Vascular and Endovascular Surgery, vol. 43, no. 6, pp. 592-596. https://doi.org/10.1177/1538574409335275
Jayarajan S, Napolitano LM, Rectenwald JE, Upchurch GR. Primary aortoenteric fistula and endovascular repair. Vascular and Endovascular Surgery. 2009 Dec 1;43(6):592-596. https://doi.org/10.1177/1538574409335275
Jayarajan, Senthil ; Napolitano, Lena M. ; Rectenwald, John E. ; Upchurch, Gilbert R. / Primary aortoenteric fistula and endovascular repair. In: Vascular and Endovascular Surgery. 2009 ; Vol. 43, No. 6. pp. 592-596.
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