Aortic graft and endograft infections remain a significant source of morbidity and mortality after abdominal aortic aneurysm repair. With graft excision and extra-anatomic bypass, an infrarenal aortic stump remains which can have suture line dehiscence and catastrophic stump blowout. Treatment of this is extremely challenging, especially for severely co-morbid patients who cannot undergo major surgery, or in patients with a hostile abdomen. We present a case study of a 74-year-old male found to have an aortoenteric fistula (AEF). This case broadens operative options for this type of patient population by demonstrating an endovascular technique for addressing aortic stump blowout by parallel grafting and coil embolization of the visceral aorta.

中文翻译：

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内主动脉并行移植和弹簧圈栓塞治疗主动脉残端爆裂的血管内治疗

主动脉移植物和内移植物感染仍然是腹主动脉瘤修复术后发病和死亡的重要来源。通过移植物切除和解剖外搭桥，肾下主动脉残端仍然存在，可能导致缝合线裂开和灾难性残端爆裂。治疗这一疾病极具挑战性，特别是对于无法接受大手术的严重共病患者或腹部状况不佳的患者。我们介绍了一名 74 岁男性被发现患有主动脉肠瘘 (AEF) 的案例研究。该病例通过展示一种通过内脏主动脉平行移植和弹簧圈栓塞来解决主动脉残端爆裂的血管内技术，拓宽了此类患者群体的手术选择。