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Case Reports
Immediate endovascular treatment of an aortoiliac aneurysm ruptured into the inferior vena cava.
- Reinhard Kopp, Rolf Weidenhagen, Ralf Hoffmann, Tobias Waggershauser, Georgios Meimarakis, Joachim Andrassy, Dirk Clevert, Stephan Czerner, and Karl-Walter Jauch.
- Department of Surgery, Klinikum Grosshadern, University of Munich, Munich, Germany. rkopp@med.uni-muenchen.de
- Ann Vasc Surg. 2006 Jul 1;20(4):525-8.
AbstractAn aortocaval fistula is a severe complication of an aortoiliac aneurysm, usually associated with high perioperative morbidity and mortality during open operative repair. We describe the successful endovascular treatment of a symptomatic infrarenal aortic aneurysm ruptured into the inferior vena cava with secondary interventional coiling of a persistent type II endoleak because of retrograde perfusion of the inferior mesenteric artery. Endovascular exclusion of ruptured abdominal aneurysms seems to be a valuable treatment option for selected patients even with complicated vascular conditions like an aortocaval fistula.
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