Multistage Endovascular Management of an Aortic Aneurysm Rupture into the Retroaortic Left Renal Vein.

Abstract:

:Aortic aneurysm rupture into the retroaortic left renal vein (RALRV) is an uncommon phenomenon. We herein present the case of a 66-year-old man with left flank pain, hematuria, fever, and symptoms of acute right-sided heart failure. Computed tomography angiography (CTA) demonstrated an 83-mm infrarenal aortic aneurysm with a fistula in between the aorta and the RALRV. The patient underwent an urgent endovascular aneurysm repair and a proximal cuff extension due to type Ia endoleak. In the early postoperative period, transcaval coil embolization was performed, 3 months later repeated CTA revealed recanalized fistula, after fluid embolization and vascular plug implantation control CTA showed no sign of endoleak. The patient recovered uneventfully, 1-year follow-up CTA demonstrated aneurysm shrinkage and no sign of endoleak.

journal_name

Ann Vasc Surg

authors

Berczeli M,Csobay-Novák C,Oláh Z,Sótonyi P

doi

10.1016/j.avsg.2020.11.003

subject

Has Abstract

pub_date

2021-01-15 00:00:00

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(20)31035-9

pub_type

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