Ruptured Abdominal Aortic Aneurysm in a Patient with an Aorto–Left Renal Vein Fistula

Weel, Vincent van; Watson, A; Fioole, Bram

doi:10.1016/j.avsg.2013.03.021

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Prolonged operation time and massive transfusion due to blood loss were the major disadvantages of open repair. [9][10][11][12][13] Van Weel et al 11 reported encountering major intraoperative venous bleeding, up to 8 L. Masood et al 12 reported a case that required 17 L of blood transfusion in addition to plasma and platelet transfusion. Not surprisingly the outcomes of open repair were often suboptimal due to the traumatic surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Complete Endovascular Repair for Abdominal Aortic Aneurysm With Concomitant Aorto-Left Retroaortic Renal Vein Fistula

Cai

Sun

Peng

et al. 2022

Vasc Endovascular Surg

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Background Abdominal aortic aneurysm (AAA) with concomitant aorto-retroarotic left renal vein fistula (ALRVF) is an extremely rare clinical condition. With the recent development of endovascular techniques, repair of such conditions with a complete minimal invasive approach is now possible. We reported here a case of endovascular repair of AAA with concomitant ALRVF. Case Presentation A 62-year-old gentleman presenting with AAA and concomitant ALRVF underwent complete endovascular repair, including an endovascular aortic aneurysm repair (EVAR) with bifurcated aortic graft as well as embolization of the aneurysm sac and deployment of a covered stent in the left retroarotic renal vein to achieve sealing of the arterial-venous fistula. The patient required no blood transfusion and no ICU stay. He has been followed up closely for 4 years and has been well clinically. Aneurysm sac size has remained stable. Conclusions Endovascular repair can be a safe and reliable surgical alternative to treat AAA with concomitant ALRVF. But long-term follow up and more clinical data are required to verify the durability of endovascular repair for such conditions.

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