Endovascular Management of a Ruptured Iliac Aneurysm With an Inferior Vena Cava Fistula.

Abstract:

:Aortocaval fistula is uncommon and often associated with a ruptured iliac or abdominal aortic aneurysm. It has a high mortality secondary to the aneurysmal rupture but also to a high output heart failure. Open surgery has been the standard; however, endovascular management has emerged with lower mortality. We present a patient with a ruptured iliac aneurysm and an inferior vena cava fistula successfully treated with an endograft with embolization of the right hypogastric artery. The patient arrested on induction and was resuscitated with aortic balloon inflation. Endovascular therapy can be safely used in the management of iliac/aortocaval fistula.

journal_name

Vasc Endovascular Surg

authors

Torrealba JI,Vargas JF,Mertens RA,Valdes FJ,Marine LA,Bergoeing MP

doi

10.1177/1538574420939724

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

638-642

issue

7

eissn

1538-5744

issn

1938-9116

journal_volume

54

pub_type

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