Learning Points
- IEF is a rare cause of
lower GI bleeding and can cause severe life-threatening consequences.
A high degree of clinical suspicion is needed in patients with
previous aortic surgery given the increased likelihood of secondary
ArEFs.
- Using endovascular
techniques in the acute setting as a staged approach can be extremely
effective in maintaining haemodynamic stability and buying time for a
safer elective procedure of total graft explantation and autologous
vein reconstruction.
- Such complex cases
are likely best managed in high-volume tertiary centres where
multidisciplinary expertise is readily available.