Endovascular treatment of an aortic aneurysm ruptured into the inferior vena cava.
OBJECTIVE
To report the endovascular repair of a rare abdominal aortic aneurysm (AAA) rupture into the inferior vena cava.


RESULTS
A 74-year-old man with a 6.0-cm saccular aortic aneurysm and a previously undiagnosed aortocaval fistula of more than 2 weeks' duration was treated successfully with a Vanguard bifurcated stent-graft. The aneurysm was excluded and no endoleak or communication between the aorta and inferior vena cava was seen on computed tomographic imaging at the 6-month evaluation.


CONCLUSIONS
Aortic endografting in this life-threatening complication is an effective treatment option that avoids the significant blood loss encountered in conventional repair.
Umscheid
T
T
Städtische Kliniken Frankfurt-Höchst, Frankfurt, Germany. umscheid.hahnberg@t-online.de
Stelter
W J
WJ
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior