Lirici Marco Maria, Tierno Simone Maria, Giudice Rocco, Coscarella Carlo, Graziani Maria Giovanna, Pogany Gabriele
Department of General Surgery, San Giovanni Hospital Complex, Rome, Italy.
Department of Vascular Surgery, San Giovanni Hospital Complex, Rome, Italy.
Minim Invasive Ther Allied Technol. 2020 Apr;29(2):114-119. doi: 10.1080/13645706.2019.1581623. Epub 2019 Mar 8.
Secondary aorto-enteric fistulae (SAEF) are rare life-threatening complications that occur after abdominal aortic graft implant to treat aortic aneurysm or occlusive disease. Conventional treatments such as extra-anatomic bypass grafting with aortic ligation and subsequent graft removal with bowel repair are associated with a 25% to 90% operative mortality rate. In the emergency setting, patients unsuitable for major arterial surgery may benefit from a staged, less invasive approach. We present a case of SAEF treated with endoluminal deployment of a stent graft followed by duodenojejunal resection and anastomosis without further aortic reconstruction and graft removal.
继发性主动脉肠瘘（SAEF）是一种罕见的危及生命的并发症，发生于腹主动脉移植治疗主动脉瘤或闭塞性疾病之后。传统治疗方法，如解剖外旁路移植术联合主动脉结扎，以及随后的移植物切除和肠修复，手术死亡率为25%至90%。在急诊情况下，不适合进行大动脉手术的患者可能受益于分期、侵入性较小的方法。我们报告一例SAEF患者，采用腔内植入支架移植物治疗，随后行十二指肠空肠切除和吻合术，无需进一步的主动脉重建和移植物切除。
