Veraldi Gian Franco, Gottin Leonardo, Genco Bruno, Bricolo Andrea, Tasselli Sebastiano, Faggian Giuseppe, Mazzucco Alessandro
Division of Cardiac Surgery, Cardiovascular and Thoracic Department, Vascular Surgery Unit, School of Medicine, Civile Maggiore Hospital, University of Verona, P.le A. Stefani, 1, 37126 Verona, Italy.
Gen Thorac Cardiovasc Surg. 2012 Jun;60(6):350-4. doi: 10.1007/s11748-012-0002-x. Epub 2012 May 8.
The last few years have seen an increase in popularity of endovascular aneurysm repair because of the improvements made to the endografts design as well as experience gained by physicians, but the long-term results of this procedure are still uncertain. The majority of late complications after an endograft can be treated with an endovascular approach but, in some cases, it may need conversion to open surgery. In this paper, we discuss the case of a male patient who presented with an aorto-duodenal fistula on an endograft requiring explant. After two operations and 20 days in hospital, the patient was discharged and after 1 year he is doing well. In medical literature, there are very few reported cases of aortoenteric fistula complicating endovascular prosthesis, the diagnosis is quite difficult, surgical treatment is fairly complex consisting in endograft removal and we refer to our experience on this difficult and life-threatening operation.
由于血管内移植物设计的改进以及医生经验的积累，过去几年血管内动脉瘤修复术越来越受欢迎，但该手术的长期效果仍不确定。血管内移植物植入术后的大多数晚期并发症可以通过血管内方法治疗，但在某些情况下，可能需要转为开放手术。在本文中，我们讨论了一例男性患者的病例，该患者在血管内移植物上出现主动脉十二指肠瘘，需要进行移除手术。经过两次手术和住院20天后，患者出院，1年后情况良好。在医学文献中，很少有报道血管内假体并发主动脉肠瘘的病例，诊断相当困难，手术治疗相当复杂，包括移除血管内移植物，我们在此介绍我们在这种困难且危及生命的手术中的经验。
