Endovascular Repair of an Actively Hemorrhaging Aortoduodenal Fistula

Andrew R. Barleben, Mirza S. Baig, Stephen M. Kubaska, Roy M. Fujitani, Ian A. Gordon, John S. Lane

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Aortoenteric fistulae require urgent definitive intervention and traditionally carry a high mortality. We describe a patient who suffered a traumatic aortic dissection following an auto versus pedestrian collision. He underwent open fenestration of his infrarenal aorta and visceral resection, complicated by abdominal sepsis and enterocutaneous fistulae. One month later he developed massive hematemesis, and endoscopic examination revealed an aortoduodenal fistula. Due to an impassable abdominal wall, a stent-graft repair was performed. This report describes the successful use of endovascular techniques to achieve immediate hemostasis in an actively hemorrhaging aortoduodenal fistula. An endovascular approach provides a valuable option in settings where a hostile abdomen precludes the traditional open technique and may serve as a bridge to later definitive repair.

Original languageEnglish (US)
Pages (from-to)629-632
Number of pages4
JournalAnnals of Vascular Surgery
Issue number5
StatePublished - Sep 2007

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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