Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000300012
Jornal Vascular Brasileiro
Case Report

Relato de caso de tratamento endovascular de fístula aorto-entérica secundária

A case report of an endovascular treatment of secondary aortenteric fistula

Fabio Henrique Rossi; Nilo Mitsuru Izukawa; Akash Kuzhiparambil Prakasan; Heraldo Antônio Barbato; Antonio Kambara; Patrik Bastos Metzger; Frederico Augusto de Carvalho Linhares Filho; Camila Baumann Betelli

http://dx.doi.org/10.1590/S1677-54492012000300012 J Vasc Bras, vol.11, n3, p.236-239, 2012
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Resumo

O tratamento tradicional da fístula aorto-entérica secundária baseia-se na retirada cirúrgica da prótese, desbridamento aórtico, enxerto extra-anatômico, ou in situ, nos casos em que o campo cirúrgico apresenta-se sem sinais de infecção. Recentemente, alguns autores vêm preconizando o tratamento endovascular em pacientes instáveis e com alto risco cirúrgico. Apresentamos um relato de caso de paciente portador de fístula aorto-entérica secundária tratado inicialmente por via endovascular.

Palavras-chave

aneurisma, enxerto vascular, fístula do sistema digestório, procedimentos endovasculares

Abstract

Traditional treatment of secondary aortoenteric fistula is based on open surgery followed by device removal, aortic debridement and extra-anatomic or in situ by-pass when no signs of local infection are found. Recently, some authors have been advocating endovascular treatment in unstable and high-risk patients. We present a case report of a patient who underwent initial endovascular treatment of a secondary aortoenteric fistula.

Keywords

aneurysm, vascular grafting, digestive system fistula, endovascular procedures

Referências

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