Endovascular Repair of an Aortoenteric Fistula in a High-Risk Patient

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.