Abstract
An aorto-enteric fistula (AEF) is an abnormal communication between the aorta and the gastrointestinal (GI) tract. It has traditionally required open surgical repair, but here we report the successful endovascular management of this surgical emergency. A 62-year-old man presented with an episode of collapse associated with meleana. Upper GI endoscopy diagnosed a secondary AEF from a previous aorto-bi-femoral bypass procedure. This was treated successfully with the endovascular deployment of an aorto-uni-iliac stent device. Endovascular repair of AEF can provide a successful bridge to open laparotomy for definitive repair of the affected part of the gastrointestinal tract.
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