Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.200179
Jornal Vascular Brasileiro
Case Report

Customização intraoperatória de endoprótese para correção de fístula aortoentérica em contexto de urgência: um relato de caso

Intraoperative endoprosthesis customization for repair of an aortoenteric fistula in an emergency context: a case report

Hugo Back Carrijo; Josué Rafael Ferreira Cunha; Carlos André Schuler; Marcos Aurélio Perciano Borges

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Resumo

Resumo: A fístula aortoentérica é uma grave condição clínica, e seu manejo permanece sendo um grande desafio técnico aos cirurgiões. A abordagem por cirurgia convencional nesses casos está relacionada a altos índices de morbimortalidade. A cirurgia endovascular apresenta-se como uma ótima alternativa nesses casos; contudo, por não se tratar de aorta nativa, a anatomia pode não ser compatível com os dispositivos endovasculares comercialmente disponíveis, fazendo-se necessário, em casos de urgência, a utilização de dispositivos modificados pelo cirurgião. O caso relatado reporta uma fístula aortoentérica secundária, tratada em situação de urgência por técnica endovascular com dispositivo modificado.

Palavras-chave

fístula aortoentérica, aneurisma de aorta, procedimentos endovasculares, endopróteses modificadas

Abstract

Aortoenteric fistula is a severe clinical condition and its management remains a major technical challenge for surgeons. In these cases, the conventional surgical approach is associated with high rates of morbidity and mortality. Endovascular surgery is an excellent option in these cases, but considering that the aorta has been treated previously, anatomy may not be compatible with commercially available endovascular devices and so physician-modified endografts may be needed in urgent cases. The case reported involves a secondary aortoenteric fistula, treated on an emergency basis with endovascular techniques, using a physician-modified endograft.

Keywords

aortoenteric fistula; aortic aneurysm; endovascular procedures; modified endografts.

References

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Submitted date:
10/21/2020

Accepted date:
12/07/2020

6103f2e1a953953d5813dd13 jvb Articles

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