Emergency EVAR for Abdominal Aortic Aneurysm Ruptured Into the Duodenum With an Aortic Dissection

Shihan Chen; Shibo Xia; Chao Song; Qingsheng Lu

doi:10.1016/j.jaccas.2023.102188

Emergency EVAR for Abdominal Aortic Aneurysm Ruptured Into the Duodenum With an Aortic Dissection

JACC Case Rep. 2023 Dec 27;29(3):102188. doi: 10.1016/j.jaccas.2023.102188. eCollection 2024 Feb 7.

Authors

Shihan Chen¹, Shibo Xia¹, Chao Song¹, Qingsheng Lu¹

Affiliation

¹ Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai, China.

Abstract

We report a case of aortoduodenal fistula formed after an abdominal aortic aneurysm ruptured into the duodenum. There is also an aortic dissection involving the celiac trunk, superior mesenteric artery and renal arteries. Successful treatment was achieved through endovascular aortic repair, followed by anti-infective and supportive therapy over 3 months.

Keywords: aortoduodenal fistula; endovascular aortic repair; fenestrated stent grafts; infectious abdominal aortic aneurysm; ruptured abdominal aortic aneurysm.