Staged surgical treatment of a primary duodenocaval fistula in a patient with metastatic nonseminomatous germ cell tumor
Endovascular exclusion of aortoenteric fistula has been described as a bridge to definitive open repair surgery. However, little is known about transposing this technique to treat duodenocaval fistula. We report a case of a 20-year-old man who presented with a duodenocaval fistula arising from a met...
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| Veröffentlicht in: | Journal of vascular surgery. Venous and lymphatic disorders (New York, NY) NY), 2019-07, Vol.7 (4), p.583-586 |
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| container_title | Journal of vascular surgery. Venous and lymphatic disorders (New York, NY) |
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| creator | Boisvert, Annie Labbé, Raymond Rhéaume, Pascal |
| description | Endovascular exclusion of aortoenteric fistula has been described as a bridge to definitive open repair surgery. However, little is known about transposing this technique to treat duodenocaval fistula. We report a case of a 20-year-old man who presented with a duodenocaval fistula arising from a metastatic nonseminomatous germ cell tumor. A staged technique using an initial endovenous exclusion of the fistula permitted stabilization of the patient and completion of his chemotherapy regimen. Subsequently, the stent graft was explanted with concomitant autogenous caval reconstruction, allowing the patient to be cancer free at 1-year follow-up. |
| doi_str_mv | 10.1016/j.jvsv.2018.07.010 |
| format | Article |
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Venous and lymphatic disorders (New York, NY)</title><addtitle>J Vasc Surg Venous Lymphat Disord</addtitle><description>Endovascular exclusion of aortoenteric fistula has been described as a bridge to definitive open repair surgery. However, little is known about transposing this technique to treat duodenocaval fistula. We report a case of a 20-year-old man who presented with a duodenocaval fistula arising from a metastatic nonseminomatous germ cell tumor. A staged technique using an initial endovenous exclusion of the fistula permitted stabilization of the patient and completion of his chemotherapy regimen. 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| ispartof | Journal of vascular surgery. Venous and lymphatic disorders (New York, NY), 2019-07, Vol.7 (4), p.583-586 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - instrumentation Device Removal Duodenal Diseases - diagnostic imaging Duodenal Diseases - etiology Duodenal Diseases - surgery Duodenocaval fistula Endovascular Procedures - instrumentation Endovascular treatment Humans Intestinal Fistula - diagnostic imaging Intestinal Fistula - etiology Intestinal Fistula - surgery Male Neoplasms, Germ Cell and Embryonal - complications Neoplasms, Germ Cell and Embryonal - diagnostic imaging Neoplasms, Germ Cell and Embryonal - drug therapy Neoplasms, Germ Cell and Embryonal - secondary Nonseminomatous germ cell tumor Stents Testicular Neoplasms - complications Testicular Neoplasms - diagnostic imaging Testicular Neoplasms - drug therapy Testicular Neoplasms - pathology Treatment Outcome Vascular Fistula - diagnostic imaging Vascular Fistula - etiology Vascular Fistula - surgery Vena Cava, Inferior - diagnostic imaging Vena Cava, Inferior - surgery Young Adult |
| title | Staged surgical treatment of a primary duodenocaval fistula in a patient with metastatic nonseminomatous germ cell tumor |
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