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

Sandra A Chung; Chris M Reid; Dennis F Bandyk; Andrew Barleben; John S Lane III

doi:10.12945/j.aorta.2015.14-053

AORTA, Table of Contents

CC BY 4.0 · Aorta (Stamford) 2015; 03(01): 25-29
DOI: 10.12945/j.aorta.2015.14-053

Case Report

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

Authors

Sandra A Chung

¹School of Medicine, University of California San Diego, La Jolla, California, USA
Chris M Reid

²Department of Surgery, University of California San Diego Medical Center, San Diego, California, USA
Dennis F Bandyk

³Division of Vascular and Endovascular Surgery, University of California San Diego Medical Center, San Diego, California, USA
Andrew Barleben

³Division of Vascular and Endovascular Surgery, University of California San Diego Medical Center, San Diego, California, USA
John S Lane III

³Division of Vascular and Endovascular Surgery, University of California San Diego Medical Center, San Diego, California, USA

Abstract

There 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.

Key Words

Ruptured abdominal aortic aneurysm - Aortocaval fistula - EVAR

Full Text

References

References
1 Kotsikoris I, Papas TT, Papanas N, Maras D, Andrikopoulou M, Bessias N. , et al. Aortocaval fistula formation due to ruptured abdominal aortic aneurysms: A 12-year series. Vasc Endovascular Surg 2013; 47: 51-56 . DOI: 10.1177/1538574411418842
2 IMPROVE Trial Investigators, Powell JT, Sweeting MJ, Thompson MM, Ashleigh R, Bell R. , et al. Endovascular or open repair strategy for ruptured abdominal aortic aneurysm: 30 day outcomes from IMPROVE randomised trial. BMJ 2014; 348: f7661 . DOI: 10.1136/bmj.f7661
3 Antoniou GA, Georgiadis GS, Antoniou SA, Pavlidis P, Maras D, Sfyroeras GS. , et al. Endovascular repair for ruptured abdominal aortic aneurysm confers an early survival benefit over open repair. J Vasc Surg 2013; 58: 1091-1105 . DOI: 10.1016/j.jvs.2013.07.109
4 Reimerink JJ, Hoornweg LL, Vahl AC, Wisselink W, van den Broek TA, Legemate DA. , et al. Endovascular repair versus open repair of ruptured abdominal aortic aneurysms: A multicenter randomized controlled trial. Ann Surg 2013; 258: 248-256
5 Gonçalves FB, Rouwet EV, Hendriks JM, ten Raa S, Verhagen HJM, van de Luijtgaarden KoenM. Conservative management of persistent aortocaval fistula after endovascular aortic repair. J Vasc Surg 2013; 58: 1080-1083 . DOI: 10.1016/j.jvs.2012.10.138
6 Maeda H, Umezawa H, Goshima M, Hattori T, Nakamura T, Nishii T. , et al. Surgery for ruptured abdominal aortic aneurysm with an aortocaval and iliac vein fistula. Surg Today 2007; 37: 445-446 . DOI: 10.1007/s00595-006-3429-9
7 Shah TR, Parikh P, Borkon M, Mocharla R, Lonier J, Rosenzweig BP. , et al. Endovascular repair of contained abdominal aortic aneurysm rupture with aortocaval fistula presenting with high-output heart failure. Vasc Endovascular Surg 2013; 47: 51-56 . DOI: 10.1177/1538574412462633
8 Melas N, Saratzis A, Saratzis N, Lazaridis I, Kiskinis D.. Inferior vena cava stent-graft placement to treat endoleak associated with an aortocaval fistula. J Endovasc Ther 2011; 18: 250-254 . DOI: 10.1583/10-3296.1
9 Unosawa S, Kimura H, Niino T.. Surgical repair of ruptured abdominal aortic aneurysm with non-bleeding aortocaval fistula. Ann Vasc Dis 2013; 6: 209-211 . DOI: 10.3400/avd.cr.12.00106
10 Psathas ED, Lioudaki S, Doulaptsis M, Charalampoudis P, Klonaris C, Verikokos C. Clinical manifestations of aortocaval fistulas in ruptured abdominal aortic aneurysm: Report of two cases. Case Rep Surg 2012; 2012: 1-4 . DOI: 10.1155/2012/123081