Emergency CTA Diagnosis and Successful Endovascular Management of Aorto-duodenal Fistula

Authors

  • Giulia Lassandro Department of Radiology, Ospedale del Mare, Naples, Italy
  • Giorgio Mazzotta Institute of Radiology, Catholic University of the Sacred Heart, Rome, Italy
  • Stefano Giusto Picchi Department of Radiology, Ospedale del Mare, Naples, Italy
  • Giuseppe Sarti Vascular and Interventional Unit, Ospedale del Mare, Naples, Italy
  • Fabio Spinetti Department of Vascular Surgery, Ospedale del Mare, Naples, Italy
  • Antonio Corvino Movement Sciences and Wellbeing Department, University of Naples “Parthenope”, Naples, Italy
  • Giampaolo Santini Vascular and Interventional Unit, Ospedale del Mare, Naples, Italy
  • Fabio Tamburro Department of Radiology, Ospedale del Mare, Naples, Italy

DOI:

https://doi.org/10.26676/jevtm.293

Keywords:

Aorto-Enteric Fistula, Computed Tomography Angiography (CTA), Endovascular Approach, Life-Saving Treatment, Emergency Setting

Abstract

Aorto-enteric fistula is defined as a communication between the aorta and the gastrointestinal tract. It is a rare but life-threatening condition associated with almost 100% mortality without prompt surgical intervention. The most common type of aorto-enteric fistula is the aorto-duodenal fistula. Upper gastrointestinal bleeding is the most common presentation, ranging from a minor haemorrhage to massive life-threatening bleeding.
Computed tomography angiography is the first-line modality for imaging evaluation of suspected aorto-enteric fistula. Surgical treatment of this condition may be open aortic repair, in situ graft replacement if present, or placement of an extra-anatomical bypass.
We present our case of a 71-year-old woman with infected aorto-aortic graft complicated by aorto-duodenal fistula. The patient was successfully treated by aortic Zenith Cook cuff endovascular placement in the emergency setting as a life-saving treatment and a bridge solution to elective surgery.

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Published

2023-11-29

How to Cite

Lassandro, G., Mazzotta, G., Picchi, S. G., Sarti, G., Spinetti, F., Corvino, A., … Tamburro, F. (2023). Emergency CTA Diagnosis and Successful Endovascular Management of Aorto-duodenal Fistula. Journal of Endovascular Resuscitation and Trauma Management, 7(2), 62–66. https://doi.org/10.26676/jevtm.293

Issue

Section

Case Reports

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