Published in:
01-07-2006 | Case Reports
Immediate Endovascular Treatment of an Aortoiliac Aneurysm Ruptured into the Inferior Vena Cava
Authors:
Reinhard Kopp, MD, Rolf Weidenhagen, MD, Ralf Hoffmann, MD, Tobias Waggershauser, MD, Georgios Meimarakis, MD, Joachim Andrassy, MD, Dirk Clevert, MD, Stephan Czerner, MD, Karl-Walter Jauch, MD
Published in:
Annals of Vascular Surgery
|
Issue 4/2006
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Abstract
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.