Conservative management of persistent aortocaval fistula after endovascular aortic repair Koen M. van de Luijtgaarden, MD, Frederico Bastos Gonçalves,

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Presentation transcript:

Conservative management of persistent aortocaval fistula after endovascular aortic repair Koen M. van de Luijtgaarden, MD, Frederico Bastos Gonçalves, MD, Ellen V. Rouwet, MD, PhD, Johanna M. Hendriks, MD, PhD, Sander ten Raa, MD, PhD, Hence J.M. Verhagen, MD, PhD Journal of Vascular Surgery Volume 58, Issue 4, Pages 1080-1083 (October 2013) DOI: 10.1016/j.jvs.2012.10.138 Copyright © 2013 Terms and Conditions

Fig 1 A preoperative (A) luminal three-dimensional reconstruction and a (B) coronal view of the computed tomography angiography (CTA) show a 10-cm large abdominal aortic aneurysm (AAA) with associated aortocaval fistula (ACF, white arrowheads). A postoperative (C) reconstruction and a (D) coronal view show the persistent aortocaval fistula at the 1-year follow-up. *Artery of Drummond; IMA, inferior mesenteric artery; IVC, inferior vena cava; SMA, superior mesenteric artery. Journal of Vascular Surgery 2013 58, 1080-1083DOI: (10.1016/j.jvs.2012.10.138) Copyright © 2013 Terms and Conditions

Fig 2 Postoperative computed tomography angiography (CTA) at (A) 6 weeks and at the (B) 1-year follow-up shows a 10-mm decrease in diameter. Notice the large type II endoleak associated with a persistent aortocaval fistula (white arrowheads). Journal of Vascular Surgery 2013 58, 1080-1083DOI: (10.1016/j.jvs.2012.10.138) Copyright © 2013 Terms and Conditions

Fig 3 Different dynamics are shown in the aneurysm sac between a type II endoleak (left) without and (right) with an arteriovenous (AV) fistula. IVC, Inferior vena cava. Journal of Vascular Surgery 2013 58, 1080-1083DOI: (10.1016/j.jvs.2012.10.138) Copyright © 2013 Terms and Conditions