Iranian Journal of Medical Sciences

Document Type: Case Report(s)


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


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.


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