Primary aorto enteric fistula is a very rare but life threatening condition. We report a case of primary aorto enteric fistula in a 62-year-old man whose diagnosis was only made at laparotomy. A high index of suspicion along with a good history and physical exam is critical for making a successful diagnosis. Surgical exploration is warranted if other investigation is not conclusive.

Aneurysms of aortic arch are rare but amenable to endovascular therapy. Arch aneurysm presenting with aorto-esophageal fistula and hematemesis is a feared, but relatively rare complication. The extrapolation of the safety and rapidity of emergent endovascular repair for bleeding arch aneurysms has been infrequently reported. A bovine arch anatomy confers distinct advantages for endovascular the...

Asymptomatic rupture of a sinus of Valsalva aneurysm is rare. A fistula following rupture of a sinus of Valsalva aneurysm may cause infective endocarditis. Here, we report a case of infective endocarditis of an aorto-right atrial fistula caused by asymptomatic rupture of a sinus of Valsalva aneurysm. A 45-year-old male, who was first diagnosed with a heart murmur at the age of 37 years, present...

Background Aorto-right-atrial fistula in native valve endocarditis is very rare. Case Description A 45-year-old woman was referred with an endocarditis with a perforated right cusp of the aortic valve with at least moderate insufficiency and an affected tricuspid annulus with vegetations. In addition to this, an aorto-cavitary fistula from the aortic sinus to the right atrium with a holodiastol...

INTRODUCTION Aorto-enteric fistula after endovascular aortic repair is an exceedingly rare but serious condition. REPORT A rare case of a fistula between the excluded aortic sac and the transverse colon 15 years after endovascular aortic repair is described. Onset was endocarditis without gastrointestinal haemorrhage, migration, endoleak, or aortic sac dilatation. The patient was successfully...

We describe a rare case of aorto-oesophageal fistula and aortic pseudoaneurysm in a middle-aged man, who presented with chest pain and haematemesis 1 week after swallowing a fish bone. Oesophagogastroduodenoscopy and computed tomographic angiography findings were consistent with oesophageal perforation, proximal descending aortic pseudoaneurysm, and aorto-oesophageal fistula. Thoracic endovascu...

W e report the unusual case of a 60-year-old-man presenting with left lower limb venous gangrene caused by an aorto-caval fistula. There was associated bilateral lower limb and scrotal oedema. In this case a ruptured aortic aneurysm with acute fistulation into the vena cava (fig 1) was repaired in the conventional manner. However, the patient underwent above-knee amputation of irreversible veno...

The occurrence of aorto-right ventricular fistula after an aortic valve replacement is rare. If it remains untreated, this condition can result in heart failure and could thus significantly compromise patient survival. Surgical closure is the treatment of choice; however, transcatheter closure has been attempted with relatively acceptable results. Here, we report on a patient who presented with...

Background: Aorto-enteric fistula formation after endovascular repair without previous abdominal surgery is exceedingly rare. It can occur at any time postoperatively.

Foreign body-induced aorto-oesophageal fistula is a rare cause of massive upper gastro-intestinal bleeding and, in the absence of a timely diagnosis and surgical intervention, can be fatal. During a period of 25 years, five patients with foreign body-induced aorto-oesophageal fistula underwent surgery in our department. Three patients survived. All survivors required more than one surgical inte...