Abstract
Aortoduodenal syndrome is exceedingly rare and characterized by duodenal obstruction from a large abdominal aortic aneurysm. Traditionally, treatment is by open aneurysm repair, aneurysmorraphy, and duodenal release. This approach carries a significant mortality. Endovascular aneurysm repair has not been used before in this condition as it was felt that the duodenal obstruction would still require surgical decompression. We report two patients with aortoduodenal syndrome successfully treated by endovascular stent graft alone. The pathophysiology of this syndrome is reviewed and a new hypothesis of a dynamic element in aortoduodenal syndrome presented.
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