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Staged endovascular and open surgical repair of an aortoenteric fistula with complex autologous lower extremity revascularization

Year: 2025

Type: article

Abstract: A 72-year-old female presented to an outside hospital after her legs gave out and she fell at home. Computed tomography angiography revealed an aortoenteric fistula. Given her extensive and complex revascularization history, including an aortobifemoral bypass, femoral-femoral bypass, and multiple lower extremity revascularizations, she was transferred to our facility for further management and definitive repair. She underwent staged endovascular exclusion of the aortoenteric fistula followed by definitive open aortic repair and lower extremity revascularization 3 days later. Her postoperative course was uneventful, and she was discharged on hospital day 10.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.102067

Authors: Mark S. Zemela, Benjamin Feng, Abigail Clark, Katherine McMackin, Joseph V. Lombardi

Institutions: Cooper University Hospital, AtlantiCare

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250