Primary aortogastric fistula following Nissen fundoplication: A case report

Abstract

Highlights Aortogastric fistula is rare however often fatal. Diagnosis is frequently missed or delayed, and usually made intra-operatively or during autopsy. High index of suspicion and CTA are key to diagnosis. Endoscopy and catheter angiography are often non diagnostic. Surgical repair is the gold standard therapy, but endovascular repair is becoming the preferred initial treatment.

Fatal Bleeding from Aortogastric Fistula

“…Stent grafting was performed for the aortic fistula; however, cerebral edema after hypoxic encephalopathy progressed, and the patient died nine days after the procedure. AGF is a communication between the native aorta and the stomach ( 1 ). It is usually fatal, and delayed intervention is associated with an overall mortality of nearly 100%.…”

“…ter the procedure. AGF is a communication between the native aorta and the stomach (1). It is usually fatal, and delayed intervention is associated with an overall mortality of nearly 100%.…”