Staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysm
A primary aortocaval fistula (ACF) is a rare complication of abdominal aortic aneurysms caused by erosion of the aortic wall into the vena cava. It is more frequently observed in the setting of ruptured abdominal aortic aneurysms and presents a unique challenge for vascular surgeons. Both open and e...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723002447 |
| _version_ | 1797385221193072640 |
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| author | Molly McDonald, DO Eric Robinson, MD, MSc Harmandeep Singh, MD, FACS, RPVI |
| author_facet | Molly McDonald, DO Eric Robinson, MD, MSc Harmandeep Singh, MD, FACS, RPVI |
| author_sort | Molly McDonald, DO |
| collection | DOAJ |
| description | A primary aortocaval fistula (ACF) is a rare complication of abdominal aortic aneurysms caused by erosion of the aortic wall into the vena cava. It is more frequently observed in the setting of ruptured abdominal aortic aneurysms and presents a unique challenge for vascular surgeons. Both open and endovascular techniques exist, with the main differences being perioperative mortality and recurrence rates. We present a case of an ACF diagnosed intraoperatively, which persisted after endovascular aneurysm repair in conjunction with a type II endoleak. We applied a unique staged, triple endovascular approach to close the ACF via caval and aortic exclusion of inflow and outflow vessels. |
| first_indexed | 2024-03-08T21:51:02Z |
| format | Article |
| id | doaj.art-797fc974589a409c89c59f51f1a7e747 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-03-08T21:51:02Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-797fc974589a409c89c59f51f1a7e7472023-12-20T07:35:18ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-12-0194101335Staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysmMolly McDonald, DO0Eric Robinson, MD, MSc1Harmandeep Singh, MD, FACS, RPVI2Correspondence: Molly McDonald, DO, Division of Vascular Surgery, Department of Surgery, Mount Sinai South Nassau, Mount Sinai Health System, 1425 Madison Ave, L4-30, New York, NY 10029; Division of Vascular Surgery, Department of Surgery, Mount Sinai South Nassau, Mount Sinai Health System, New York, NYDivision of Vascular Surgery, Department of Surgery, Mount Sinai South Nassau, Mount Sinai Health System, New York, NYDivision of Vascular Surgery, Department of Surgery, Mount Sinai South Nassau, Mount Sinai Health System, New York, NYA primary aortocaval fistula (ACF) is a rare complication of abdominal aortic aneurysms caused by erosion of the aortic wall into the vena cava. It is more frequently observed in the setting of ruptured abdominal aortic aneurysms and presents a unique challenge for vascular surgeons. Both open and endovascular techniques exist, with the main differences being perioperative mortality and recurrence rates. We present a case of an ACF diagnosed intraoperatively, which persisted after endovascular aneurysm repair in conjunction with a type II endoleak. We applied a unique staged, triple endovascular approach to close the ACF via caval and aortic exclusion of inflow and outflow vessels.http://www.sciencedirect.com/science/article/pii/S2468428723002447Abdominal aortic aneurysmAortocaval fistulaEndoleakEndovascular repair of abdominal aortic aneurysm |
| spellingShingle | Molly McDonald, DO Eric Robinson, MD, MSc Harmandeep Singh, MD, FACS, RPVI Staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysm Journal of Vascular Surgery Cases and Innovative Techniques Abdominal aortic aneurysm Aortocaval fistula Endoleak Endovascular repair of abdominal aortic aneurysm |
| title | Staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysm |
| title_full | Staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysm |
| title_fullStr | Staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysm |
| title_full_unstemmed | Staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysm |
| title_short | Staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysm |
| title_sort | staged triple endovascular approach for repair of aortocaval fistula secondary to ruptured abdominal aortic aneurysm |
| topic | Abdominal aortic aneurysm Aortocaval fistula Endoleak Endovascular repair of abdominal aortic aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723002447 |
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