Advanced

Aortoenteric fistula caused by a ruptured stent-graft: a case report

Norgren, L; Jernby, B and Engellau, Lena LU (1998) In Journal of Endovascular Surgery 5(3). p.269-272
Abstract
PURPOSE: To report a case of aortoenteric fistula secondary to endovascular abdominal aortic aneurysm (AAA) exclusion using the Stentor bifurcated endovascular graft. METHODS AND RESULTS: Seventeen months after a successful endovascular AAA procedure, a male patient developed upper gastrointestinal bleeding. An aortoenteric fistula was diagnosed. At operation, the endograft fabric was found to be ruptured in an area of suture disruption between the nitinol stents. Coincidentally, a pre-existing inflammatory process might have caused adhesions between the bowel and the aortic wall, predisposing to fistula formation. The patient recovered after placement of a conventional aortic graft. CONCLUSIONS: Suture disruption between the internal... (More)
PURPOSE: To report a case of aortoenteric fistula secondary to endovascular abdominal aortic aneurysm (AAA) exclusion using the Stentor bifurcated endovascular graft. METHODS AND RESULTS: Seventeen months after a successful endovascular AAA procedure, a male patient developed upper gastrointestinal bleeding. An aortoenteric fistula was diagnosed. At operation, the endograft fabric was found to be ruptured in an area of suture disruption between the nitinol stents. Coincidentally, a pre-existing inflammatory process might have caused adhesions between the bowel and the aortic wall, predisposing to fistula formation. The patient recovered after placement of a conventional aortic graft. CONCLUSIONS: Suture disruption between the internal support stents is a recognized complication in the first-generation Stentor device. Although the case described here is probably not typical of the consequences of this sequela, it does reinforce the need for continual periodic imaging to check for signs of graft disruption in Stentor endografts. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
endograft, endovascular grafting, complication, suture disruption, Stentor
in
Journal of Endovascular Surgery
volume
5
issue
3
pages
269 - 272
publisher
International Society of Endovascular Specialists
external identifiers
  • pmid:9761582
  • scopus:0031781152
ISSN
1074-6218
DOI
10.1583/1074-6218(1998)005<0269:AFCBAR>2.0.CO;2
language
English
LU publication?
yes
id
57a52117-2818-4ade-ab8a-fadde8e1df51 (old id 1113271)
date added to LUP
2008-07-14 15:58:39
date last changed
2017-01-01 07:22:52
@article{57a52117-2818-4ade-ab8a-fadde8e1df51,
  abstract     = {PURPOSE: To report a case of aortoenteric fistula secondary to endovascular abdominal aortic aneurysm (AAA) exclusion using the Stentor bifurcated endovascular graft. METHODS AND RESULTS: Seventeen months after a successful endovascular AAA procedure, a male patient developed upper gastrointestinal bleeding. An aortoenteric fistula was diagnosed. At operation, the endograft fabric was found to be ruptured in an area of suture disruption between the nitinol stents. Coincidentally, a pre-existing inflammatory process might have caused adhesions between the bowel and the aortic wall, predisposing to fistula formation. The patient recovered after placement of a conventional aortic graft. CONCLUSIONS: Suture disruption between the internal support stents is a recognized complication in the first-generation Stentor device. Although the case described here is probably not typical of the consequences of this sequela, it does reinforce the need for continual periodic imaging to check for signs of graft disruption in Stentor endografts.},
  author       = {Norgren, L and Jernby, B and Engellau, Lena},
  issn         = {1074-6218},
  keyword      = {endograft,endovascular grafting,complication,suture disruption,Stentor},
  language     = {eng},
  number       = {3},
  pages        = {269--272},
  publisher    = {International Society of Endovascular Specialists},
  series       = {Journal of Endovascular Surgery},
  title        = {Aortoenteric fistula caused by a ruptured stent-graft: a case report},
  url          = {http://dx.doi.org/10.1583/1074-6218(1998)005<0269:AFCBAR>2.0.CO;2},
  volume       = {5},
  year         = {1998},
}