E.M. San Norberto, J.A. Brizuela, J.H. Taylor, S. Carrera, M.A. Ibáñez, C. Vaquero
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引用次数: 1
Abstract
Introduction
There is no evidence on which to base the ideal technique for the treatment of aorto-enteric fistulas (AEFs).
Report
A 54-year-old man presented with an AEF. He had previously undergone aortobifemoral bypass with an end-to-side proximal anastomosis. An Endurant II aorto-uni-iliac endograft and a Complete SE stent soaked in rifampicin were implanted. After 12 hours, a second staged intervention was performed. The original graft was removed and the communication with the duodenum was repaired.
Discussion
A staged combination of endovascular repair for acute bleeding control and open surgical treatment, combined with systemic and local antibiotics might be considered the option of choice.
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