Purpose: To describe the endovascular repair of an aortoenteric fistula in a high-risk patient. Methods and Results: A Vanguard tube stent-graft was deployed at the upper anastomotic suture line of a secondary aortoenteric fistula, successfully sealing the communication between the aorta and the third part of the duodenum without occlusion of the renal arteries. Conclusions: Endovascular stent-graft repair of aortoenteric fistulae is possible, but further evaluation of this technique will determine its role in the management of this complication.
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Deshpande et al. (1999) studied this question.