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A Lethal Connection Uncovered: Direct Endoscopic Evidence of a Primary Aortoenteric Fistula Joel Mathews, Trina Lewis, Munazzah Kaleem, and Long Hoang BACKGROUND: Primary Aortoenteric Fistulas (PAEFs) are a rare condition that occurs when the native aorta develops an abnormal connection with the gastrointestinal lumen

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