Aortoduodenal fistula after endovascular stent-graft of an abdominal aortic aneurysm

Despite satisfying short- and middle-term effectiveness and feasibility, en dovascular stent-grafting for abdominal aortic aneurysm is still under eval uation. We report a case of an aortoduodenal fistula after the use of this technique, Enlargement of the upper aneurysmal neck was followed by caudal migration of the major portion of the stent-graft, which resulted in kinkin g of the device in the aneurysmal sac. Ulcerations were found on adjacent p ortions of both the aneurysmal sac and the adjacent duodenum. Only the text ile portion of the prosthetic contralateral limb separated the aortic lumen from the corresponding duodenal lumen, Early detection of complications af ter stent-grafting is essential to allow successful treatment, either surgi cal or endoluminal.