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Aortoenteric fistula is a rare complication following endovascular abdominal aortic aneurysm repair. However, there is a significant morbidity and mortality associated with this complication. Patients can present with gastrointestinal hemorrhage, fever, or nonspecific features of chronic infection. Extra anatomic bypass with complete graft explanation is the standard management.
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Alankar S., Barth M. H., Shin D. D., Hong J. R., Rosenberg W. R. Aortoduodenal fistula and associated rupture of abdominal aortic aneurysm after endoluminal stent graft repair. Journal of Vascular Surgery. 2003;37(2):465–468. doi: 10.1067/mva.2003.81.
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Kahlberg A., Rinaldi E., Piffaretti G., et al. Results from the multicenter study on aortoenteric fistulization after stent grafting of the abdominal aorta (MAEFISTO) Journal of Vascular Surgery. 2016;64(2):313–320.e1. doi: 10.1016/j.jvs.2016.04.008.
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Chenu C., Marcheix B., Barcelo C., Rousseau H. Aorto-enteric fistula after endovascular abdominal aortic aneurysm repair: case report and review. European Journal of Vascular and Endovascular Surgery. 2009;37(4):401–406. doi: 10.1016/j.ejvs.2008.11.037.
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Ruby B. J., Cogbill T. H. Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft. Journal of Vascular Surgery. 2007;45(4):834–836. doi: 10.1016/j.jvs.2006.11.039.
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