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Ischemic duodenal ulceration after thoracic endovascular aortic repair

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Ischemia is an uncommon cause of duodenal ulcers because of the duodenum’s redundant blood supply.1 Aortic surgery is a known but rare risk factor for mesenteric ischemia. Endovascular aortic repair is an increasingly common alternative to open surgery for select patients with aortic aneurysms; however, postprocedural complications including endoleaks and graft migration can occur.2,3 Less commonly reported complications downstream from the surgery itself, including bowel ischemia have been elucidated, with only a handful of reports detailing duodenal ulceration in the current literature.4 We present a case of ischemic duodenal ulceration after thoracic endovascular aortic repair (TEVAR). | Ischemic duodenal ulceration after thoracic endovascular aortic repair