AORTOENTERIC FISTULA, CURRENT STATE OF THE ART

  • Inês Antunes Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
  • Carlos Pereira Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
  • Carlos Veterano Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
  • Gabriela Teixeira Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
  • Carlos Veiga Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
  • Daniel Mendes Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
  • Henrique Rocha Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
  • João Castro Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
  • Rui Almeida Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar do Porto, Porto, Portugal
Keywords: aortoenteric fistula, abdominal aortic aneurysm, iliac artery aneurysm, gastrointestinal bleeding, admoninal pain

Abstract

Aortoenteric fistula (AEF) is a rare cause of gastrointestinal (GI) bleeding. There are two types of AEF: primary and secondary. Primary AEF usually occurs in association with abdominal aortic aneurysm (AAA). Secondary AEF are associated to aortic grafts, normally in relation to graft infection, and represent the most common type. A high level of suspicion is essential to a prompt diagnosis. If not promptly diagnosed and treated the associated mortality is very high. The role of endovascular treatment is not yet defined. Our aim is to perform a non-systematic review of the available literature concerning etiology, clinical presentation, diagnosis and treatment of AEF.

Downloads

Download data is not yet available.

References

1. Lee CW, Chung SW, Song S, Bae MJ, Huh U, Kim JH. Double primary
aortoenteric fistulae: a case report of two simultaneous primary
aortoenteric fistulae in one patient. Korean J Thorac Surg
2012;45:330-333
2. Lemos DW, Raffetto JD, Moore TC, Menzoian JO. Primary aortoduodenal
fistula: A case report and review of the literature. Journal of
Vascular Surgery. 2003;37(3):686-689
3. Hirts AE, Affeldt JE. Abdominal aortic aneurysm, with rupture into
the duodenum: a case report of eight cases. Gastroenterology
1971;17:504
4. Kane JM, Myers KA, Kozoll DD. An anatomical approach to the
problem of massive gastrointestinal hemorrhage. Arch Surg
1955;70:570
5. Parry DJ, Waterworth A, Kessel D, Robertson I, Berridge DC, Scott DJ:
Endovascular repair of an inflammatory abdominal aortic aneurysm
complicated by aortoduodenal fstulation with an unusual presentation.
J Vasc Surg 2001;33:874-879
6. Yamashita A, Noma T, Nakazawa A, Satio S, Fujioka K, Zempo N, et al.
Enhnced expressed of matrix metaloproteinase-9 in abdominal
aortic aneurysms. World J Surg 2001;25:259-265.
7. Kayashima A, Mori H, Okuzawa A, Kubosawa Y, Hirai Y, Kinoshita
S, et al. An Esophageal Ulcer Associated with a Thoracoabdominal
Aortic Aneurysm. 2019; 13(1): 214–218.
8. Saito H, Nishikawa Y, Akahira JI, Yamaoka H, Okuzono T, Sawano T.
Secondary aortoenteric fistula possibly associated with continuous
physical stimulation: a case report and review of the literature.
J Med Case Rep. 2019;13(1):61
9. Saers SJ, Scheltinga MR. Primary aortoenteric fistula. Br J Surg
2005;92:143-52
10. Korkut AK, Arpinar E, Yasar T, Guney D. Primary aortoduodenal
fistula complicated by abdominal aortic aneurysm. J Cardiovasc
Surg 2000;41:113-115
11. Tareen AH, Schroeder TV. Primary aortoenteric fistula: two new
case reports and a review of 44 previously reported cases. Eur J
Vasc Endovasc Surg 1996;12:5-10
12. Brand EJ, Sivak MV, Sullivian BH. Aortoduodenal fistula; endoscopic
diagnosis. Dig Dis Sci 1979;24:940-944
13. Hill SL, Knott LH, Alexander RH. Recurrent aortoduodenal fistula:
a lesson in management. Am surg 1982;48:137-140
14. Hughes FM, Kavanagh D, Barry M, Owens A, MacErlaine DP, Malone DE.
Aortoenteric fistula: a diagnostic dilemma. Abdom Imaging
2007;32(3):398-402
15. Varekamp AP, Spruijt IL. Double primary aortoenteric fistula. Eur J
Vasc Endovasc Surg 1998;15:270-271
16. Pagni S, Denatale RW, Sweeney T, McLaughlin C, Ferneini AM.:
Primary aorto-duodenal fistula secondary to infected abdominal
aortic aneurysms: the role of local debridement and extra-anatomic
bypass. J Cardiovasc Surg (Torino) 1999; 40:31
17. Sweeney MS, Gadacz TR: Primary aortoduodenal fistula: manifestation,
diagnosis, and treatment. Surgery 1984; 96:492-497
18. Van Olffen TB, Knippenberg LH, van der Vliet JA, Lastdrager WB.
Primary aortoenteric fistula: report of six new cases. Cardiovasc
Surg 2002;10:551-554
19. O'Connor S, Andrew P, Batt M, Becquemin JP. A systematic review
and meta-analysis of treatments of aortic graft infection. J Vasc
Surg 2006; 44:38-45
20. Chung J, Clagett GP. Neoaortoiliac system (NAIS) procedure for
the treatment of the infected aortic graft. Semin Vasc Surg 2011;
24:220-226
21. Lonn L, Dias N, Veith Schroeder T, Resch T. Is EVAR the treatment
of choice for aortoenteric fistula? J Cardiovasc Surg (Torino
2010;51:319-327
22. Antoniou GA, Koutsias S, Antoniou SA, Georgiakakis A, Lazarides
MK, Giannoukas AD. Outcome after endovascular stent graft
repair of aortoenteric fistula: a systematic review. J Vasc Surg
2009;49:782-789
23. Kakkos SK, Antoniadis PN, Klonaris CN, Papazoglou KO, Giannoukas
AD, Matsagkas MI, et al. Open or endovascular repair of aortoenteric
fistulas? A multicentre comparative study. Eur J Vasc Endovasc Surg
2011; 41:625-634
Published
2020-08-05
Section
Review Article

Most read articles by the same author(s)