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

Published bySeppo Jarmo Juusonen Modified over 5 years ago

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Presentation on theme: "Conservative management of persistent aortocaval fistula after endovascular aortic repair  Koen M. van de Luijtgaarden, MD, Frederico Bastos Gonçalves,"— Presentation transcript:

1 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 (October 2013) DOI: /j.jvs Copyright © Terms and Conditions

2 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  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

3 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  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

4 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  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

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