Emergent Endovascular Repair For Primary Aortoenteric Fistula


  • Isabel Marques Serviço de Cirurgia Geral do Hospital de Braga, Portugal https://orcid.org/0000-0002-4700-5197
  • Mário Vieira Serviço de Angiologia e Cirurgia Vascular do Hospital de Braga, Portugal https://orcid.org/0000-0002-9908-9003
  • Ana Ferreira Serviço de Angiologia e Cirurgia Vascular do Hospital de Braga, Portugal
  • Rodolfo Abreu Serviço de Angiologia e Cirurgia Vascular do Hospital de Braga, Portugal
  • Roger Rodrigues Serviço de Angiologia e Cirurgia Vascular do Hospital de Braga, Portugal
  • Luís Vilaça Serviço de Angiologia e Cirurgia Vascular do Hospital de Braga, Portugal
  • João Oliveira Serviço de Angiologia e Cirurgia Vascular do Hospital de Braga, Portugal




Aortic Aneurysm, Intestinal Fistula, Gastrointestinal Hemorrhage, Endovascular Procedures, Vascular Surgical Procedures


We report the case of a 64-year-old male with significant cardiac comorbidities who reported three episodes of gastrointestinal bleeding. In the third episode, he presented massive hematemesis, anaemia and hypotension. Despite a standard upper endoscopy, a computed tomography (CT) showed an infrarenal abdominal aortic aneurysm and densification of the aortic fat cover. A primary aortoenteric fistula, with acute bleeding and haemodynamic instability, was assumed, and an emergent endovascular repair was performed. Subsequent CT scans and endoscopies demonstrated control of the enteric lesion. After five months, there was no evidence of infection or rebleeding.


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How to Cite

Marques I, Vieira M, Ferreira A, Abreu R, Rodrigues R, Vilaça L, Oliveira J. Emergent Endovascular Repair For Primary Aortoenteric Fistula. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Jul. 7 [cited 2024 May 22];30(2):63-6. Available from: https://pjctvs.com/index.php/journal/article/view/264



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