Endovascular Treatment of Aortoduodenal Syndrome

Ahn, Kun Tae; Tanabe, Hiroaki; Kotani, Mitsuhisa; Kato, Yukio; Toyama, Masaaki

doi:10.1016/j.avsg.2015.08.007

Cited by 8 publications

(7 citation statements)

References 8 publications

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“…19 Afterward, prosthetic graft replacement of the AAA became the treatment of choice. 20 In the last few years, minimally invasive treatments, both endovascular and endoscopic, have been proposed with encouraging results. Pham and Havre proposed the creation of an endoscopic ultrasound-guided fistula with lumenapposing metallic stents between the stomach and the jejunum, functioning as a gastrojejunostomy to relieve the symptoms of gastric outlet obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…21 Furthermore, some authors have reported successful resolution of the first DO cases due to AAAs with the EVAR procedure. 14,18,20 There is however only 1 description of DO following an EVAR of an AAA in the current literature. 22 The standard endograft concept of EVAR, with proximal and distal fixation and sealing, is nonetheless associated with a non-negligible risk of endoleak occurrence, most commonly type I and II, with the consequent necessity of secondary re-interventions.…”

Section: Discussionmentioning

confidence: 99%

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Duodenal Obstruction in a Patient Previously Treated With EndoVascular Aneurysm Sealing System Repair

Biddau

Nagliati

Graziano

et al. 2021

Vasc Endovascular Surg

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The Nellix® endovascular aneurysm sealing system (EVAS) is a relatively novel approach for the treatment of abdominal aortic aneurysms (AAAs). We present herein a case of duodenal obstruction (DO) which occurred following an EVAS treatment for the repair of an AAA. A 77-year old man was admitted to our hospital with acute abdominal pain and recurrent vomiting. Computed tomography (CT) revealed a retroperitoneal 66 × 59 × 90 mm (antero-posterior, AP; latero-lateral, LL; cranio-caudal: CC) solid mass located in the epigastrium, corresponding to the infrarenal abdominal aortic aneurysm sac, previously treated by EVAS. An exploratory laparotomy was performed, which revealed a retroperitoneal mass compressing the third and fourth parts of the duodenum. A gastroenteroanastomosis was performed in order to bypass the duodenal obstruction. An extensive search of biomedical literature databases was conducted to identify similar cases. To our knowledge, this is the first reported case of DO following an AAA repair with EVAS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Duodenal Obstruction in a Patient Previously Treated With EndoVascular Aneurysm Sealing System Repair

Biddau

Nagliati

Graziano

et al. 2021

Vasc Endovascular Surg

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“…Post-operative change in aneurysm diameter has varied in the literature but in those without shrinkage, resolution of symptoms is thought to be secondary to aneurysmal sac depressurisation via endovascular stent graft placement [ 10 ]. As highlighted by Lin et al [ 9 ], the reduction in compression of the IVC due to noted depressurisation of the aneurysmal sac probably induced the restoration or recanalisation of the thrombosed IVC resulting in an increase in venous flow with subsequent symptom resolution.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic abdominal aortic aneurysm (AAA) presenting as unilateral lower limb swelling: A case report

Barry

Tosenovsky

2020

International Journal of Surgery Case Reports

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Highlights Symptomatic aneurysms typically present with pain localised to the abdomen, back, or flank. An extremely uncommon presentation of a symptomatic AAA is due to the sequelae of compression of the Inferior Vena Cava. IVC compression secondary to AAA has previously been treated via open surgery. Endovascular management of symptomatic AAA’s resulting in caval thrombosis may offer a viable alternative to open surgery.

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“…There have been few reports of successful endovascular management for aortoduodenal syndrome without aneurysmal shrinkage. 4) We report a case of successful endovascular management for aortoduodenal syndrome without aneurysmal shrinkage and discuss the mechanisms of aortoduodenal syndrome and the benefits of endovascular aneurysm repair (EVAR). The patient provided consent for the publication of this case report.…”

Section: Introductionmentioning

confidence: 99%

Successful Endovascular Repair for Abdominal Aortic Aneurysm Presenting as Aortoduodenal Syndrome

Kawaguchi

Oba

Suzuki

et al. 2020

Annals of Vascular Diseases

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Aortoduodenal syndrome is a rare duodenal obstruction caused by an abdominal aortic aneurysm. Current treatment involves open aneurysmal repair according to the theory that this procedure releases the duodenum from mechanical compression. However, the mechanism of duodenal blockage remains unclear and reports of endovascular aneurysm repair (EVAR) for aortoduodenal syndrome are quite rare. We report our successful case of EVAR for aortoduodenal syndrome without aneurysmal shrinkage and discuss the mechanism of duodenal obstruction.

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Endovascular Treatment of Aortoduodenal Syndrome

Cited by 8 publications

References 8 publications

Duodenal Obstruction in a Patient Previously Treated With EndoVascular Aneurysm Sealing System Repair

Duodenal Obstruction in a Patient Previously Treated With EndoVascular Aneurysm Sealing System Repair

Symptomatic abdominal aortic aneurysm (AAA) presenting as unilateral lower limb swelling: A case report

Successful Endovascular Repair for Abdominal Aortic Aneurysm Presenting as Aortoduodenal Syndrome

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