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

Juszkat, Robert; Pukacki, Fryderyk; Zarzecka, Anna; Kulesza, Jerzy; Majewski, Waclaw

doi:10.1007/S00270-009-9525-7

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

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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.

Authors:

Juszkat, Robert ^[1]; Pukacki, Fryderyk ^[2]; Zarzecka, Anna; Kulesza, Jerzy ^[1]; Majewski, Waclaw ^[2]

Poznan University of Medical Sciences, Department of Radiology (Poland)
Poznan University of Medical Sciences, Department of General and Vascular Surgery (Poland)

Publication Date:: Wed Jul 15 00:00:00 EDT 2009

OSTI Identifier:: 21428509

Resource Type:: Journal Article

Journal Name:: Cardiovascular and Interventional Radiology

Additional Journal Information:: Journal Volume: 32; Journal Issue: 4; Other Information: DOI: 10.1007/s00270-009-9525-7; Copyright (c) 2009 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2009 Springer Science+Business Media, LLC; Journal ID: ISSN 0174-1551

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; ABDOMEN; ARTERIES; BIOMEDICAL RADIOGRAPHY; GRAFTS; REPAIR; RUPTURES; TUBES; VEINS; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; FAILURES; MEDICINE; NUCLEAR MEDICINE; ORGANS; RADIOLOGY; TRANSPLANTS

Citation Formats


                    Juszkat, Robert, Pukacki, Fryderyk, Zarzecka, Anna, Kulesza, Jerzy, and Majewski, Waclaw. Endovascular Treatment of Ruptured Abdominal Aneurysm into the Inferior Vena Cava in Patient After Stent Graft Placement.  United States: N. p., 2009. 
        Web.  doi:10.1007/S00270-009-9525-7.

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                    Juszkat, Robert, Pukacki, Fryderyk, Zarzecka, Anna, Kulesza, Jerzy, & Majewski, Waclaw. Endovascular Treatment of Ruptured Abdominal Aneurysm into the Inferior Vena Cava in Patient After Stent Graft Placement.  United States.  https://doi.org/10.1007/S00270-009-9525-7

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                    Juszkat, Robert, Pukacki, Fryderyk, Zarzecka, Anna, Kulesza, Jerzy, and Majewski, Waclaw. 2009.  
        "Endovascular Treatment of Ruptured Abdominal Aneurysm into the Inferior Vena Cava in Patient After Stent Graft Placement".  United States.  https://doi.org/10.1007/S00270-009-9525-7.

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@article{osti_21428509,

  title        = {Endovascular Treatment of Ruptured Abdominal Aneurysm into the Inferior Vena Cava in Patient After Stent Graft Placement},

  author       = {Juszkat, Robert and Pukacki, Fryderyk and Zarzecka, Anna and Kulesza, Jerzy and Majewski, Waclaw},

  abstractNote = {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.},

  doi          = {10.1007/S00270-009-9525-7},

  url          = {https://www.osti.gov/biblio/21428509},
  journal      = {Cardiovascular and Interventional Radiology},

  issn         = {0174-1551},

  number       = 4,

  volume       = 32,

  place        = {United States},

  year         = {Wed Jul 15 00:00:00 EDT 2009},

  month        = {Wed Jul 15 00:00:00 EDT 2009}

}

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