Persistent endoleak after endovascular aneurysm repair for acute Q-fever-infected aortocaval fistula

Vascular ◽  
2014 ◽  
Vol 23 (6) ◽  
pp. 645-647 ◽  
Author(s):  
Jan-Hein S Prinsen ◽  
Doeke Boersma ◽  
Ruud van Loenhout ◽  
Paul M van Schaik ◽  
Bart AN Verhoeven
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Q Fever ◽  
Endovascular Aneurysm Repair ◽  
Aortocaval Fistula ◽  
Abdominal Aortic ◽  
Type 2 Endoleak ◽  
Acute Q Fever ◽  
Aneurysm Repair

We present a case of an endovascular aneurysm repair for a Q-fever-infected acute abdominal aortic aneurysm with aortocaval fistula. Type 2 endoleak persisted after successful endovascular repair.

scholarly journals Aortocaval fistula, a potentially favourable complication of abdominal aortic aneurysm rupture in endovascular repair

2020 ◽  
Vol 102 (8) ◽  
pp. e180-e182 ◽  
Author(s):  
S Greenfield ◽  
G Martin ◽  
M Malina ◽  
NS Theivacumar
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Unexpected Finding ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Aortocaval Fistula ◽  
Abdominal Aortic ◽  
Type 2 Endoleak ◽  
Aneurysm Repair

Endovascular aneurysm repair is an established treatment for ruptured abdominal aortic aneurysm. Primary aortocaval fistula is an exceedingly rare finding in ruptured abdominal aortic aneurysm, with a reported incidence of less than 1%. The presence of an aortocaval fistula used to be an unexpected finding in open surgical repair which often resulted in massive haemorrhage and caval injury. We present a case of ruptured abdominal aortic aneurysm with an aortocaval fistula that was successfully treated with percutaneous endovascular aneurysm repair under local anaesthesia. Despite a persistent type 2 endoleak the aneurysm sack shrank from 8.4cm to 4.8cm in 12 months. The presence of an aortocaval fistula may have depressurised the aneurysm, resulting in less bleeding retroperitoneally and may have promoted rapid shrinkage of the sac despite the presence of a persistent type 2 endoleak.

scholarly journals Staged Hybrid Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm with Aortocaval Fistula

Aorta ◽  
2015 ◽  
Vol 03 (01) ◽  
pp. 25-29 ◽  
Author(s):  
Sandra Chung ◽  
Chris Reid ◽  
Dennis Bandyk ◽  
Andrew Barleben ◽  
John Lane
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Hybrid Approach ◽  
Endovascular Aneurysm Repair ◽  
Short Review ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Aortocaval Fistula ◽  
Abdominal Aortic ◽  
Aneurysm Repair

AbstractThere is a growing body of literature expanding the indication of endovascular aneurysm repair, from prophylactic treatment of aneurysms to other indications such as ruptured and complicated ruptured abdominal aneurysms. Concomitant aortocaval fistula is rare, and reports of open and endovascular repair exist. We report a unique hybrid approach to a case of a ruptured abdominal aortic aneurysm with aortocaval fistula, repaired primarily via endovascular approach in a hybrid, two-staged fashion. Representative images are presented in addition to a short review of this pathology.

scholarly journals An unusual complication after endovascular aneurysm repair for giant abdominal aortic aneurysm with aortocaval fistula: High bilirubin levels

2020 ◽  
Vol 8 ◽  
pp. 2050313X2098432
Author(s):  
Andrea Ascoli Marchetti ◽  
Fabio Massimo Oddi ◽  
Nicolò Diotallevi ◽  
Martina Battistini ◽  
Arnaldo Ippoliti
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Aortic Aneurysms ◽  
Unusual Complication ◽  
Aortocaval Fistula ◽  
Abdominal Aortic ◽  
Continuous Filtration ◽  
Aneurysm Repair ◽  
High Bilirubin

Abdominal aortic aneurysm has among its rare complications the aortocaval fistula. It is observed in less than 1% of all abdominal aortic aneurysms and represents 3%–7% of clinical presentation in case of rupture. A male patient was presented to the emergency department with pulsating mass with continuous vascular systo-diastolic bruit, located in the lower part of abdomen with the back pain radiating anteriorly in lower abdomen. After diagnosis of abdominal aortic aneurysm with aortocaval fistula, a trimodular Endurant endograft was placed. Migration of the endoprosthesis was treated with Endoanchor and endovascular aneurysm sealing device. In the postoperative course, the patient had jaundice due to high bilirubin levels, cholestasis and increased hepatocyte cytolysis: aspartate aminotransferase and alanine aminotransferase. The treatment with appropriate continuous filtration rapidly reduced bilirubin values and the patient gradually improved.

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