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Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review

Ruptured abdominal aortic aneurysms (RAAA) evolving aortocaval fistula (AF) can have catastrophic hemodynamic effects. Surgical repair is imperative, but the optimal technical approach is still under debate. Our objective is to present 3 cases treated with endovascular repair (EVAR) at a University...

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Autores principales: de Oliveira, Carolina, Schmid, Bruno Pagnin, Molinari, Giovani José Dal Poggetto, Guillaumon, Ana Terezinha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147892/
https://www.ncbi.nlm.nih.gov/pubmed/34093691
http://dx.doi.org/10.1590/1677-5449.200174
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author de Oliveira, Carolina
Schmid, Bruno Pagnin
Molinari, Giovani José Dal Poggetto
Guillaumon, Ana Terezinha
author_facet de Oliveira, Carolina
Schmid, Bruno Pagnin
Molinari, Giovani José Dal Poggetto
Guillaumon, Ana Terezinha
author_sort de Oliveira, Carolina
collection PubMed
description Ruptured abdominal aortic aneurysms (RAAA) evolving aortocaval fistula (AF) can have catastrophic hemodynamic effects. Surgical repair is imperative, but the optimal technical approach is still under debate. Our objective is to present 3 cases treated with endovascular repair (EVAR) at a University Hospital. Case #1, a 71-year-old man presenting a 7.1cm RAAA with AF, repaired with a monoiliac stent graft and femoral-femoral bypass; Case #2, a 76-year-old man presenting a 9.9cm RAAA with AF, repaired with a bifurcated stent graft; Case #3, a 67-year-old man with previous history of EVAR, presenting a type 3 endoleak with late rupture related to AF, repaired with a tubular stent graft. All cases unfolded with delayed recovery and significant complication rates, although AF symptoms had resolved by hospital discharge. EVAR techniques for AF may require secondary interventions but are feasible, despite the lack of consensus, considering the rarity of this RAAA presentation.
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spelling pubmed-81478922021-06-04 Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review de Oliveira, Carolina Schmid, Bruno Pagnin Molinari, Giovani José Dal Poggetto Guillaumon, Ana Terezinha J Vasc Bras Case Report Ruptured abdominal aortic aneurysms (RAAA) evolving aortocaval fistula (AF) can have catastrophic hemodynamic effects. Surgical repair is imperative, but the optimal technical approach is still under debate. Our objective is to present 3 cases treated with endovascular repair (EVAR) at a University Hospital. Case #1, a 71-year-old man presenting a 7.1cm RAAA with AF, repaired with a monoiliac stent graft and femoral-femoral bypass; Case #2, a 76-year-old man presenting a 9.9cm RAAA with AF, repaired with a bifurcated stent graft; Case #3, a 67-year-old man with previous history of EVAR, presenting a type 3 endoleak with late rupture related to AF, repaired with a tubular stent graft. All cases unfolded with delayed recovery and significant complication rates, although AF symptoms had resolved by hospital discharge. EVAR techniques for AF may require secondary interventions but are feasible, despite the lack of consensus, considering the rarity of this RAAA presentation. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2021-04-05 /pmc/articles/PMC8147892/ /pubmed/34093691 http://dx.doi.org/10.1590/1677-5449.200174 Text en Copyright© 2021 The authors. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
de Oliveira, Carolina
Schmid, Bruno Pagnin
Molinari, Giovani José Dal Poggetto
Guillaumon, Ana Terezinha
Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review
title Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review
title_full Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review
title_fullStr Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review
title_full_unstemmed Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review
title_short Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review
title_sort abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147892/
https://www.ncbi.nlm.nih.gov/pubmed/34093691
http://dx.doi.org/10.1590/1677-5449.200174
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