An Aortoenteric Fistula Arising after Endovascular Management of a Mycotic Abdominal Aortic Aneurysm Complicated with a Psoas Abscess

Gülcü, Aytaç; Gezer, Naciye Sinem; Uğurlu, Şevket Baran; Göktay, Ahmet Yiğit

An Aortoenteric Fistula Arising after Endovascular Management of a Mycotic Abdominal Aortic Aneurysm Complicated with a Psoas Abscess

Document Type : Case Report(s)

Authors

Aytaç Gülcü ¹

Naciye Sinem Gezer ¹

Şevket Baran Uğurlu ²

Ahmet Yiğit Göktay ¹

¹ Department of Radiology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey;

² Department of Cardiovascular Surgery, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey

Abstract

Mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. The management of this disease is controversial. Since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown.Secondary aortoenteric fistulas may occur iatrogenically after either aortic reconstructive surgery or endovascular repair. As the number of aneurysms managed with endovascular aneurysm repair has substantially increased, cases of aortoenteric fistulas referred for endovascular repair are augmented.We report the case of an aortoduodenal fistula manifested with duodenal perforation after staged endovascular and surgical treatment of a mycotic aortic aneurysm.

Keywords

Aortic aneurysm

infection

Fistula

Endovascular aortic repair

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