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CardioVascular and Interventional Radiology

Published in:

01-07-2009 | Case Report

Endovascular Treatment of Ruptured Abdominal Aneurysm into the Inferior Vena Cava in Patient After Stent Graft Placement

Authors: Robert Juszkat, Fryderyk Pukacki, Anna Zarzecka, Jerzy Kulesza, Wacław Majewski

Published in: CardioVascular and Interventional Radiology | Issue 4/2009

Abstract

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.

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Title: Endovascular Treatment of Ruptured Abdominal Aneurysm into the Inferior Vena Cava in Patient After Stent Graft Placement
Authors: Robert Juszkat
Fryderyk Pukacki
Anna Zarzecka
Jerzy Kulesza
Wacław Majewski
Publication date: 01-07-2009
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 4/2009
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-009-9525-7

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Springer Medicine

Endovascular Treatment of Ruptured Abdominal Aneurysm into the Inferior Vena Cava in Patient After Stent Graft Placement

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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