因IB型内漏合并腹主动脉与左肾静脉后主动脉瘘导致的腹主动脉瘤腔内修复术后破裂腹主动脉瘤的腔内修复。

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.

作者信息

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

机构信息

Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of Sao Paulo, São Paulo, Brazil.

出版信息

J Vasc Surg Cases Innov Tech. 2020 Sep 26;6(4):629-632. doi: 10.1016/j.jvscit.2020.08.031. eCollection 2020 Dec.

DOI:10.1016/j.jvscit.2020.08.031

PMID:33163748

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7599381/

Abstract

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.

摘要

血管内动脉瘤修复术后发生腹主动脉瘤破裂，同时在动脉瘤囊与主动脉后左肾静脉之间形成动静脉瘘，这是一种极其罕见的并发症。本病例描述了一名81岁男性，在血管内动脉瘤排除术后2年因ⅠB型内漏形成主动脉-左肾静脉瘘。通过延长左移植物肢体修复了漏口。血管内技术是有吸引力且可行的替代方法，在再次干预中可发挥重要作用。本报告是首例关于血管内动脉瘤修复术后因ⅠB型内漏导致主动脉-左肾静脉瘘的报道。