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Primary Aortocaval Fistula and Juxtarenal Aortic Aneurysm
Predictor for Renal Branch Occlusion of thoraco-abdominal aortic aneurysms. J Vasc Surg 2015;61: 1408e16. 17 Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P. Acute renal failure e definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004;8:R204e12.
357 18 Panuccio G, Bisdas T, Berekoven B, Torsello G, Austermann M. Performance of bridging stent grafts in fenestrated and branched aortic endografting. Eur J Vasc Endovasc Surg 2015;50: 60e70. 19 Mastracci TM, Greenberg RK, Eagleton MJ, Hernandez AV. Durability of branches in branched and fenestrated endografts. J Vasc Surg 2013;57:926e33.
Eur J Vasc Endovasc Surg (2016) 51, 357
COUP D’OEIL
Primary Aortocaval Fistula and Juxtarenal Aortic Aneurysm Z. Szeberin *, C. Csobay-Novák Department of Vascular Surgery, Cardiovascular Centre, Semmelweis University, Budapest, Hungary
A 71-year-old man with hypertension presented with abdominal pain and dyspnoea; he had an 8-cm juxtarenal abdominal aortic aneurysm (unsuitable for standard endovascular aneurysm repair, owing to saccular outpouching of the immediate infrarenal area; arrow in [A]). Physical examination revealed signs of right heart failure: bilateral ankle oedema, hepatomegaly and right pleural effusion. An aortocaval fistula was noticed on computed tomographic angiography. Following suprarenal aortic clamping and distal inferior vena cava balloon control, an aorto-bi-iliac Dacron graft was implanted with primary closure of the fistula (B) from the aortic side. The patient’s postoperative course was uneventful and he was discharged home on the sixth postoperative day.
* Corresponding author. E-mail address: [email protected] (Z. Szeberin). 1078-5884/Ó 2015 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2015.12.003
357 18 Panuccio G, Bisdas T, Berekoven B, Torsello G, Austermann M. Performance of bridging stent grafts in fenestrated and branched aortic endografting. Eur J Vasc Endovasc Surg 2015;50: 60e70. 19 Mastracci TM, Greenberg RK, Eagleton MJ, Hernandez AV. Durability of branches in branched and fenestrated endografts. J Vasc Surg 2013;57:926e33.
Eur J Vasc Endovasc Surg (2016) 51, 357
COUP D’OEIL
Primary Aortocaval Fistula and Juxtarenal Aortic Aneurysm Z. Szeberin *, C. Csobay-Novák Department of Vascular Surgery, Cardiovascular Centre, Semmelweis University, Budapest, Hungary
A 71-year-old man with hypertension presented with abdominal pain and dyspnoea; he had an 8-cm juxtarenal abdominal aortic aneurysm (unsuitable for standard endovascular aneurysm repair, owing to saccular outpouching of the immediate infrarenal area; arrow in [A]). Physical examination revealed signs of right heart failure: bilateral ankle oedema, hepatomegaly and right pleural effusion. An aortocaval fistula was noticed on computed tomographic angiography. Following suprarenal aortic clamping and distal inferior vena cava balloon control, an aorto-bi-iliac Dacron graft was implanted with primary closure of the fistula (B) from the aortic side. The patient’s postoperative course was uneventful and he was discharged home on the sixth postoperative day.
* Corresponding author. E-mail address: [email protected] (Z. Szeberin). 1078-5884/Ó 2015 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2015.12.003