Conservative management of persistent aortocaval fistula after endovascular aortic repair
Journal of Vascular Surgery , Volume 58 - Issue 4 p. 1080- 1083
Endovascular repair is a valid alternative for patients with abdominal aortic aneurysms. However, in patients with concomitant aortocaval fistulas, type II endoleaks may result in a persistent communication between the aneurysm sac and the inferior vena cava. In these patients, prompt closure of the persistent fistula has been advocated. We present a patient with an abdominal aortic aneurysm, with aortocaval fistula, who was managed endovascularly. Aneurysm sac shrinkage was observed despite persistent aortocaval communication due to type II endoleak. This case demonstrates that conservative management of type II endoleaks associated with persistent aortocaval fistulas is possible and may result in favorable aneurysm sac remodelling.
|Journal of Vascular Surgery|
|Organisation||Erasmus MC: University Medical Center Rotterdam|
van de Luijtgaarden, K.M, Bastos Gonçalves, F.M.V, Rouwet, E.V, Hendriks, J.M, ten Raa, S, & Verhagen, H.J.M. (2013). Conservative management of persistent aortocaval fistula after endovascular aortic repair. Journal of Vascular Surgery, 58(4), 1080–1083. doi:10.1016/j.jvs.2012.10.138