Document Detail

Endovascular treatment of ruptured abdominal aneurysm into the inferior vena cava in patient after stent graft placement.
MedLine Citation:
PMID:  19267154     Owner:  NLM     Status:  MEDLINE    
We report the case of a patient who underwent endovascular repair and then reintervention as a result of the presence of a persistent endoleak complicated by an aortocaval fistula. A 76-year-old patient with a history of endovascular treatment for abdominal aortic aneurysm 2 years earlier had a palpable abdominal mass, high-output cardiac failure, and renal failure. A computed tomographic scan and angiography revealed bending of the right iliac limb, a type I endoleak, and rupture of the aneurysm into the inferior vena cava with aortocaval fistula formation. An iliac extension was positioned in the right external iliac artery. The procedure was finished successfully. Control angiography showed normal flow within the endoprosthesis, and both iliac arteries were without signs of endoleakage and aortocaval fistula. Ectatic common iliac artery may lead to a late distal attachment site endoleak. The application of a stent graft in cases of secondary aortocaval fistula after stent graft repair is a good option, particularly in emergency cases.
Robert Juszkat; Fryderyk Pukacki; Anna Zarzecka; Jerzy Kulesza; Wac??aw Majewski
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-07
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  32     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-06     Completed Date:  2009-12-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  776-80     Citation Subset:  IM    
Department of Radiology, Pozna?? University of Medical Sciences, Szpital Kliniczny nr 1, Ul. D??uga 1/2, Pozna??, 61-848, Poland.
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MeSH Terms
Aneurysm, Ruptured / radiography,  therapy*
Angiography, Digital Subtraction
Aortic Aneurysm, Abdominal / radiography,  therapy*
Blood Vessel Prosthesis Implantation / methods*
Postoperative Complications / therapy*
Tomography, X-Ray Computed
Vena Cava, Inferior*

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