Translumbar repair of a type II endoleak associated with an aorta-to-left renal vein fistula after aortic stent-graft placement.
An abdominal aortic aneurysm (AAA) is a serious medical condition with significant associated morbidity and mortality. Endograft repair of AAAs is a therapy in evolution, but offers promise as a minimally invasive treatment option. Persistent sac pressurization via endoleaks has limited wider application of stent-grafting technology. The present report describes a case of an AAA with rupture into a retroaortic left renal vein that was treated acutely with aortic stent-graft repair. Continued aneurysm enlargement and a large type II endoleak drained by an arteriovenous fistula were subsequently treated via a translumbar approach.
Department of Radiology, Northwestern Memorial Hospital, Chicago, Illnois, USA. sresnick@radiology.northwestern.edu
Scott
S
Resnick
Victor
V
Rome
Mark
M
Eskandari
D000208:Acute Disease; D000368:Aged; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012082:Renal Veins; D015607:Stents; D014057:Tomography, X-Ray Computed
D003287:Contrast Media