Endovascular repair of a ruptured abdominal aortic aneurysm after endovascular aneurysm repair due type IB endoleak associated with a late fistula between the abdominal aorta and a retroaortic left renal vein

Milton Sérgio Bohatch Júnior, MD; Tércio Tanure Júnior, MD; Marcelo Bellini Dalio, PhD; Mauricio Serra Ribeiro, MD; Edwaldo Edner Joviliano, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2020)

Endovascular repair of a ruptured abdominal aortic aneurysm after endovascular aneurysm repair due type IB endoleak associated with a late fistula between the abdominal aorta and a retroaortic left renal vein

Milton Sérgio Bohatch Júnior, MD,
Tércio Tanure Júnior, MD,
Marcelo Bellini Dalio, PhD,
Mauricio Serra Ribeiro, MD,
Edwaldo Edner Joviliano, PhD

Affiliations

Milton Sérgio Bohatch Júnior, MD: Correspondence: Milton Sérgio Bohatch Júnior, MD, Hospital das Clínicas of Ribeirão Preto Medical School University of Sao Paulo - Catão Roxo, 15 3900 - Monte Alegre, Ribeirão Preto - SP, Brazil 14015-010; Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of Sao Paulo, São Paulo, Brazil
Tércio Tanure Júnior, MD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of Sao Paulo, São Paulo, Brazil
Marcelo Bellini Dalio, PhD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of Sao Paulo, São Paulo, Brazil
Mauricio Serra Ribeiro, MD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of Sao Paulo, São Paulo, Brazil
Edwaldo Edner Joviliano, PhD: Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of Sao Paulo, São Paulo, Brazil

Journal volume & issue: Vol. 6, no. 4
pp. 629 – 632

Abstract

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A ruptured abdominal aortic aneurysm after endovascular aneurysm repair with an arteriovenous fistula between the aneurysm sac and a retroaortic left renal vein is an extremely rare complication. This case describes an 81-year-old man who developed an aorto-left renal vein fistula owing to a type IB endoleak 2 years after endovascular aneurysm exclusion. The leak was repaired with a left endograft limb extension. Endovascular techniques are attractive and feasible alternatives and can play an essential role in reinterventions. This report is the first of an aorto-left renal vein fistula owing a type IB endoleak after an endovascular aneurysm repair.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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