Endovascular Management of a Ruptured Iliac Aneurysm With an Inferior Vena Cava Fistula.

Autor:	Torrealba JI; 28033Pontificia Universidad Católica de Chile, Santiago, Chile., Vargas JF; 28033Pontificia Universidad Católica de Chile, Santiago, Chile., Mertens RA; 28033Pontificia Universidad Católica de Chile, Santiago, Chile., Valdes FJ; 28033Pontificia Universidad Católica de Chile, Santiago, Chile., Marine LA; 28033Pontificia Universidad Católica de Chile, Santiago, Chile., Bergoeing MP; 28033Pontificia Universidad Católica de Chile, Santiago, Chile.
Jazyk:	angličtina
Zdroj:	Vascular and endovascular surgery [Vasc Endovascular Surg] 2020 Oct; Vol. 54 (7), pp. 638-642. Date of Electronic Publication: 2020 Jul 14.
DOI:	10.1177/1538574420939724
Abstrakt:	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.
Databáze:	MEDLINE
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