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To stabilise the patient and to control bleeding, a \u2018bridging\u2019 endograft extension was performed. This was followed by open surgical removal of the EVAR endograft and lower limb in situ revascularisation. During postoperative recovery, the patient developed atypical, staged multisystemic symptoms (cardiac, pulmonary and neurological). With increasing awareness of the COVID-19 pandemic, the patient was found SARS-CoV-2-positive, which explained the progression of his symptoms. This was also reflected on other case reports in literature later.<\/jats:p>","DOI":"10.1136\/bcr-2020-238875","type":"journal-article","created":{"date-parts":[[2021,2,7]],"date-time":"2021-02-07T15:09:29Z","timestamp":1612710569000},"page":"e238875","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Aortoenteric fistula after endovascular mycotic aortic aneurysm exclusion: lessons learned during the COVID-19 era"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5281-6912","authenticated-orcid":false,"given":"Ahmed","family":"Hassan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aazeb","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bella","family":"Huasen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Banihani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"key":"2021020508403085000_14.2.e238875.1","first-page":"350","article-title":"An aortoenteric fistula arising after endovascular management of a mycotic abdominal aortic aneurysm complicated with a psoas abscess","volume":"41","author":"G\u00fclc\u00fc","year":"2016","journal-title":"Iran J Med Sci"},{"key":"2021020508403085000_14.2.e238875.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.020"},{"key":"2021020508403085000_14.2.e238875.3","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/S1051-0443(98)70479-8","article-title":"Mycotic aneurysms of the thoracic aorta: repair with use of endovascular stent-grafts","volume":"9","author":"Semba","year":"1998","journal-title":"J Vasc Interv Radiol"},{"key":"2021020508403085000_14.2.e238875.4","doi-asserted-by":"crossref","first-page":"3903","DOI":"10.1177\/0300060518781651","article-title":"Endovascular treatment of primary mycotic aortic aneurysms: a 7-year single-center experience","volume":"46","author":"Luo","year":"2018","journal-title":"J Int Med Res"},{"key":"2021020508403085000_14.2.e238875.5","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1067\/mva.2001.110356","article-title":"Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: experience with anatomic and extra-anatomic repair in 33 cases","volume":"33","author":"M\u00fcller","year":"2001","journal-title":"J Vasc Surg"},{"key":"2021020508403085000_14.2.e238875.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.03.301"},{"key":"2021020508403085000_14.2.e238875.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2004.11.008"},{"key":"2021020508403085000_14.2.e238875.8","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.009481"},{"key":"2021020508403085000_14.2.e238875.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.07.025"},{"key":"2021020508403085000_14.2.e238875.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.04.024"},{"key":"2021020508403085000_14.2.e238875.11","doi-asserted-by":"publisher","DOI":"10.1583\/05-1516.1"},{"key":"2021020508403085000_14.2.e238875.12","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jvs.2016.04.008","article-title":"Results from the multicenter study on aortoenteric fistulization after stent grafting of the abdominal aorta (MAEFISTO)","volume":"64","author":"Kahlberg","year":"2016","journal-title":"J Vasc Surg"},{"key":"2021020508403085000_14.2.e238875.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.08.068"},{"key":"2021020508403085000_14.2.e238875.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.08.113"},{"key":"2021020508403085000_14.2.e238875.15","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.2214\/AJR.20.22954","article-title":"Coronavirus disease 2019 (COVID-19): role of chest CT in diagnosis and management","volume":"214","author":"Li","year":"2020","journal-title":"AJR Am J Roentgenol"},{"key":"2021020508403085000_14.2.e238875.16","unstructured":"Wong HYF , HYS L , Fong AH . 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