Staged endovascular and open surgical repair of an aortoenteric fistula with complex autologous lower extremity revascularization

A 72-year-old female presented to an outside hospital after her legs gave out and she fell at home. Computed tomography angiography revealed an aortoenteric fistula. Given her extensive and complex revascularization history, including an aortobifemoral bypass, femoral-femoral bypass, and multiple lower extremity revascularizations, she was transferred to our facility for further management and definitive repair. She underwent staged endovascular exclusion of the aortoenteric fistula followed by definitive open aortic repair and lower extremity revascularization 3 days later. Her postoperative course was uneventful, and she was discharged on hospital day 10.