Endovascular repair of an aortoduodenal fistula

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.