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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2021
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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. |
format | Online Article Text |
id | pubmed-8147892 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
record_format | MEDLINE/PubMed |
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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