Peer-Reviewed Journal Details
Mandatory Fields
ElKassaby, M,Alawy, M,Zaki, M,Hynes, N,Tawfick, W,Sultan, S
2014
August
Vascular
Total endovascular management of ruptured aortocaval fistula: Technical challenges and case report
Published
WOS: 3 ()
Optional Fields
Aortocaval fistula abdominal aortic aneurysm rupture EVAR ABDOMINAL AORTIC-ANEURYSM REPAIR
22
306
309
Purpose: Primary aortocaval fistula (ACF) is a rare complication of ruptured abdominal aortic aneurysms (rAAA). Endovascular repair for rAAA (REVAR) provides an efficient, elegant and safe option, minimizing the risk of massive bleeding with open repair.Case report: Case 1: An 84-year-old man presented with a rAAA and ACF. He exhibited manifestations of congestive heart failure, pulmonary and renal impairment. An endovascular aortic aneurysm repair was undertaken and a bifurcated stent graft was deployed to treat the aneurysm and a second stent graft was deployed within the inferior vena cava to simultaneously seal the rAAA and the ACF. Case 2: A 73-year-old male patient presented with a rAAA and ACF. He exhibited manifestations of congestive heart failure and renal impairment with haematuria. REVAR was the plan for management. A bifurcated stent graft was used to treat the aneurysm and another bifurcated stent graft was placed within the inferior vena cava to seal the rAAA and the ACF.Conclusion: Here in, we report the first two cases in the English literature of rAAA with ACF successfully managed with simultaneous endovascular stent-grafting of both the aorta and the inferior vena cava.
10.1177/1708538113499018
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