Endovascular Repair with a Stent Graft in a Patient with Aortoduodenal Fistula after Radiation Therapy

Figure 3

Perioperative digital subtraction angiograms. Extravasation from the right lateral wall of the abdominal aorta (a) and diffusion of the contrast agent along the duodenum (b) were observed. The celiac, superior mesenteric, and right renal arteries were occluded. A covered stent graft was successfully deployed into the abdominal aorta, and a leak at the end of the graft was treated with balloon angioplasty (c). After placement of the endovascular stent graft, aortography showed no extravasation from the right lateral wall of the abdominal aorta (d).

(a)

(b)

(c)

(d)