Primary aortoduodenal fistula: extra-anatomic vascular reconstruction not required for successful management.

Eleven patients reported in the literature and three patients presented herein have survived treatment of primary aortoduodenal fistula by standard aortic reconstruction with prosthesis placement and duodenal repair. Follow-up of these patients documents that 93% (13 of 14) have had no graft-related complications. Standard aortic reconstruction appears to be justified in the treatment of primary aortoduodenal fistula.