Alankar Suresh, Barth Merle H, Shin David D, Hong Janice R, Rosenberg Wade R
Department of Surgery, Baylor College of Medicine, Houston, Tex. 77030, USA.
J Vasc Surg. 2003 Feb;37(2):465-8. doi: 10.1067/mva.2003.81.
The main complications of endovascular repair of abdominal aortic aneurysms are vascular leaks and rupture, although infection and aortoduodenal fistulas have also been reported rarely. We report a case of aortoduodenal fistula with separate retroperitoneal rupture of an abdominal aortic aneurysm after endovascular stent graft repair. The initial implantation was uneventful, without any leaks at 1 month. The patient underwent open repair and did well. To our knowledge, this is the first case report of aortoduodenal fistula and associated retroperitoneal rupture of the aneurysm after endovascular stent graft repair of an abdominal aortic aneurysm.
腹主动脉瘤血管内修复的主要并发症是血管渗漏和破裂,尽管感染和主动脉十二指肠瘘也有罕见报道。我们报告一例腹主动脉瘤血管内支架植入修复术后发生主动脉十二指肠瘘并伴有腹膜后单独破裂的病例。初次植入过程顺利,术后1个月无任何渗漏。患者接受了开放修复,恢复良好。据我们所知,这是腹主动脉瘤血管内支架植入修复术后发生主动脉十二指肠瘘并伴有相关动脉瘤腹膜后破裂的首例病例报告。