Conservative management of persistent aortocaval fistula after endovascular aortic repair.

Abstract:

:Endovascular repair is a valid alternative for patients with abdominal aortic aneurysms. However, in patients with concomitant aortocaval fistulas, type II endoleaks may result in a persistent communication between the aneurysm sac and the inferior vena cava. In these patients, prompt closure of the persistent fistula has been advocated. We present a patient with an abdominal aortic aneurysm, with aortocaval fistula, who was managed endovascularly. Aneurysm sac shrinkage was observed despite persistent aortocaval communication due to type II endoleak. This case demonstrates that conservative management of type II endoleaks associated with persistent aortocaval fistulas is possible and may result in favorable aneurysm sac remodelling.

journal_name

J Vasc Surg

authors

van de Luijtgaarden KM,Bastos Gonçalves F,Rouwet EV,Hendriks JM,Ten Raa S,Verhagen HJ

doi

10.1016/j.jvs.2012.10.138

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

1080-3

issue

4

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(13)00090-6

journal_volume

58

pub_type

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