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- Pierre Galvagni Silveira, Josué Rafael Ferreira Cunha, Guilherme Baumgardt Barbosa Lima, Rafael Narciso Franklin, Cristiano Torres Bortoluzzi, and Gilberto do Nascimento Galego.
- Department of Vascular Service and Surgery, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
- Ann Vasc Surg. 2014 Nov 1; 28 (8): 1933.e1-5.
AbstractA ruptured abdominal aortic aneurysm (RAAA), complicated by an aortocaval fistula (ACF), is usually associated with high morbidity and mortality during open operative repair. We report a case of endovascular treatment of an RAAA with ACF. After accessing both common femoral arteries, a bifurcated aortic stent graft was placed. Subsequently, we accessed the fistula from the right femoral vein and a cava vein angiography showed a persistent massive flow from the cava to the excluded aneurysm sac. We proceeded by covering the fistula with an Excluder aortic stent-graft cuff to prevent pressurization of the aneurysm sac and secondary endoleaks. This procedure is feasible and may reduce the chances of posterior endoleaks.Copyright © 2014 Elsevier Inc. All rights reserved.
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