Endovascular Treatment is an Accurate Option for Aortoenteric Secondary Fistulae in TASC D Patients

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.