title: Endovascular treatment of ruptured abdominal aortic aneurysm with aortocaval fistula based on aortic and inferior vena cava stent-graft placement.
abstract: A ruptured abdominal aortic aneurysm (RAAA), complicated by an aortocaval fistula (ACF), is usually associated with high morbidity and mortality during open operative repair. We report a case of endovascular treatment of an RAAA with ACF. After accessing both common femoral arteries, a bifurcated aortic stent graft was placed. Subsequently, we accessed the fistula from the right femoral vein and a cava vein angiography showed a persistent massive flow from the cava to the excluded aneurysm sac. We proceeded by covering the fistula with an Excluder aortic stent-graft cuff to prevent pressurization of the aneurysm sac and secondary endoleaks. This procedure is feasible and may reduce the chances of posterior endoleaks.
authors.affiliation: Department of Vascular Service and Surgery, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Pierre Galvagni
authors.initials: PG
authors.lastname: Silveira
authors.affiliation: Department of Vascular Surgery, Coris Medicina Avançada, Florianópolis, Santa Catarina, Brazil.
authors.forename: Josué Rafael Ferreira
authors.initials: JR
authors.lastname: Cunha
authors.affiliation: Department of Vascular Service and Surgery, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil. Electronic address: guilhermevela@hotmail.com.
authors.forename: Guilherme Baumgardt Barbosa
authors.initials: GB
authors.lastname: Lima
authors.affiliation: Department of Vascular Surgery, Coris Medicina Avançada, Florianópolis, Santa Catarina, Brazil.
authors.forename: Rafael Narciso
authors.initials: RN
authors.lastname: Franklin
authors.affiliation: Department of Vascular Surgery, Coris Medicina Avançada, Florianópolis, Santa Catarina, Brazil.
authors.forename: Cristiano Torres
authors.initials: CT
authors.lastname: Bortoluzzi
authors.affiliation: Department of Vascular Service and Surgery, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Gilberto do Nascimento
authors.initials: Gdo N
authors.lastname: Galego
mesh_terms: D000368:Aged; D001011:Aorta / Q000503:physiopathology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010690:Phlebography / Q000379:methods; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*