Double-barrel plugging in a recurrent aorto-enteric fistula.

Aorto-enteric fistulas (AEF) are uncommon causes of gastrointestinal bleeding. Both surgical and endovascular options are described for the management of AEF. A hybrid approach is recommended in cases of recurrent AEF. Herein we present a patient with recurrent secondary AEF with severe hypotension, melaena, and hematemesis, who underwent embolization of the residual aortic stump with the parallel placement of two vascular plugs and onyx for control of the situation. Supplementary Information: The online version contains supplementary material available at 10.1007/s12055-022-01342-1. © Indian Association of Cardiovascular-Thoracic Surgeons 2022.