Aortoduodenal Fistula After Endovascular Abdominal Aortic Aneurysm Repair

Akihiro Hosaka, Masaru Nemoto, Manabu Motoki, Atsushi Akai, Masaaki Kato

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Aortoduodenal fistula after endovascular treatment of abdominal aortic aneurysm is a very rare but life-threatening complication. Herein, we describe 4 cases of aortoduodenal fistula diagnosed at 15 to 78 months after the index aortic intervention, all successfully treated by surgery. All patients underwent primary repair of the duodenal wall, creation of tube duodenostomy, stent graft removal, and in situ reconstruction using a rifampicin-soaked prosthesis. Patients received prolonged antibiotic treatment for at least 2 months postoperatively, and all were free of recurrent infection at follow-up. Prompt and appropriate surgical intervention is required to effectively manage this condition.

Original languageEnglish
Pages (from-to)445-448
Number of pages4
JournalVascular and Endovascular Surgery
Issue number5
Publication statusPublished - 01-07-2020
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine


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