Purpose: To demonstrate the utility of endovascular stent-graft repair for
the management of an unusual aortoduodenal fistula.
Methods and Results: A 23-year-old man with an aortoduodenal fistula second
ary to tumor necrosis was treated with a Corvita endoluminal stent-graft af
ter several failed surgical attempts to repair the defect. At 2-year follow
-up, the patient was clinically and radiographically devoid of any evidence
of occult stent-graft infection.
Conclusions: This case illustrates the usefulness of endovascular repair fo
r the treatment of a primary aortoduodenal fistula. Endovascular repair sho
uld be included in the armamentarium for the management of difficult aortod
uodenal fistulas.