Endovascular Management of a Ruptured Iliac Aneurysm With an Inferior Vena Cava Fistula.
Jose Ignacio TorrealbaJosé Francisco VargasRenato A MertensFrancisco J ValdesLeopoldo A MarineMichel P BergoeingPublished in: Vascular and endovascular surgery (2020)
Aortocaval fistula is uncommon and often associated with a ruptured iliac or abdominal aortic aneurysm. It has a high mortality secondary to the aneurysmal rupture but also to a high output heart failure. Open surgery has been the standard; however, endovascular management has emerged with lower mortality. We present a patient with a ruptured iliac aneurysm and an inferior vena cava fistula successfully treated with an endograft with embolization of the right hypogastric artery. The patient arrested on induction and was resuscitated with aortic balloon inflation. Endovascular therapy can be safely used in the management of iliac/aortocaval fistula.
Keyphrases
- abdominal aortic aneurysm
- inferior vena cava
- endovascular treatment
- pulmonary embolism
- heart failure
- minimally invasive
- vena cava
- case report
- coronary artery
- cardiovascular events
- left ventricular
- stem cells
- aortic valve
- type diabetes
- cardiovascular disease
- pulmonary hypertension
- coronary artery disease
- bone marrow
- atrial fibrillation