Intermittent endoleak via an aneurysm–iliac venous fistula after endovascular aneurysm repair

Autor: Yasuhiko Terai, MD, Hiroshi Mitsuoka, PhD, MD, Takahiro Ozawa, MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 8, Iss 3, Pp 421-424 (2022)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2022.05.015
Popis: We have reported the rare case of an intermittent endoleak via an aneurysm–venous fistula (AVF). An 89-year-old woman had experienced postoperative sac expansion 6 years after she had undergone endovascular aneurysm repair. During aneurysmorrhaphy, we detected a small AVF, which was the source of the endoleak responsible for the aneurysmal sac expansion. This AVF had a check valve-like mechanism that allowed the inflow of blood from the iliac vein to the sac when the venous pressure exceeded the endotension. Our case has demonstrated the occurrence of an AVF after endovascular aneurysm repair that had resulted in an endoleak that was invisible on imaging studies and the presence of endotension.
Databáze: Directory of Open Access Journals