Immediate endovascular treatment of an aortoiliac aneurysm ruptured into the inferior vena cava.
An aortocaval fistula is a severe complication of an aortoiliac aneurysm, usually associated with high perioperative morbidity and mortality during open operative repair. We describe the successful endovascular treatment of a symptomatic infrarenal aortic aneurysm ruptured into the inferior vena cava with secondary interventional coiling of a persistent type II endoleak because of retrograde perfusion of the inferior mesenteric artery. Endovascular exclusion of ruptured abdominal aneurysms seems to be a valuable treatment option for selected patients even with complicated vascular conditions like an aortocaval fistula.
Kopp
Reinhard
R
Department of Surgery, Klinikum Grosshadern, University of Munich, Munich, Germany. rkopp@med.uni-muenchen.de
Weidenhagen
Rolf
R
Hoffmann
Ralf
R
Waggershauser
Tobias
T
Meimarakis
Georgios
G
Andrassy
Joachim
J
Clevert
Dirk
D
Czerner
Stephan
S
Jauch
Karl-Walter
KW
D000208:Acute Disease; D000368:Aged; D000800:Angioplasty, Balloon; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D006801:Humans; D017543:Iliac Aneurysm / Q000628:therapy*; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000000981:diagnostic imaging; D008875:Middle Aged; D012008:Recurrence; D019233:Retreatment; D015607:Stents; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging