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Case Reports
. 2015 Feb 1;3(1):25-9.
doi: 10.12945/j.aorta.2015.14-053. eCollection 2015 Feb.

Staged Hybrid Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm with Aortocaval Fistula

Sandra A Chung  1 , Chris M Reid  2 , Dennis F Bandyk  3 , Andrew Barleben  3 , John S Lane 3rd  3
Affiliations
Case Reports

Staged Hybrid Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm with Aortocaval Fistula

Sandra A Chung et al. Aorta (Stamford). .

Abstract

There is a growing body of literature expanding the indication of endovascular aneurysm repair, from prophylactic treatment of aneurysms to other indications such as ruptured and complicated ruptured abdominal aneurysms. Concomitant aortocaval fistula is rare, and reports of open and endovascular repair exist. We report a unique hybrid approach to a case of a ruptured abdominal aortic aneurysm with aortocaval fistula, repaired primarily via endovascular approach in a hybrid, two-staged fashion. Representative images are presented in addition to a short review of this pathology.

Keywords: Aortocaval fistula; EVAR; Ruptured abdominal aortic aneurysm.

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Figures

Figure 1.
Figure 1.
A. Initial computed tomography angiogram showing ruptured AAA into aortocaval fistula (arrow). B. Hypogastric artery aneurysm (arrow).
Figure 2.
Figure 2.
A. Computed tomography angiogram showing persistent aortocaval fistula (arrow). B. Type II endoleak from backfilling aneurysmal hypogastric artery (arrow). C. Three-dimensional reconstruction with contrast filling around the graft (arrows).
Figure 3.
Figure 3.
A. Computed tomography angiogram showing resolution of aortocaval fistula (arrow). B. Resolution of type II endoleak (arrow). C. Three-dimensional reconstruction with resolution of endoleak (arrow) and patent bilateral runoff.
See this image and copyright information in PMC

References

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