FÍSTULA AORTO-ENTÉRICA, ESTADO ATUAL DA ARTE
DOI:
https://doi.org/10.48750/acv.236Palavras-chave:
aortoenteric fistula, abdominal aortic aneurysm, iliac artery aneurysm, gastrointestinal bleeding, admoninal painResumo
A fístula aortoentérica (FAE) representa uma causa rara da hemorragia gastrointestinal. Existem dois tipos de FAE: as primárias e as secundárias. As FAE primárias ocorrem normalmente em associação a aneurismas da aorta abdominal. As FAE secundárias estão associadas à presença de material protético em relação com cirurgia aórtica prévia, normalmente associados a infeção da prótese vascular e representam o tipo mais comum de FAE. Um alto nível de suspeição é fundamental para o diagnóstico. Se não prontamente diagnosticada e tratada, a taxa de mortalidade é muito alta. O papel do tratamento endovascular nestes casos ainda não está definido. O nosso objetivo é fazer uma revisão não sistemática da literatura disponível relativamente à etiologia, apresentação clínica, diagnóstico e tratamento das FAE.
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Referências
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