CardioVascular and Interventional Radiology

, Volume 32, Issue 4, pp 776–780 | Cite as

Endovascular Treatment of Ruptured Abdominal Aneurysm into the Inferior Vena Cava in Patient After Stent Graft Placement

  • Robert JuszkatEmail author
  • Fryderyk Pukacki
  • Anna Zarzecka
  • Jerzy Kulesza
  • Wacław Majewski
Case Report


We report the case of a patient who underwent endovascular repair and then reintervention as a result of the presence of a persistent endoleak complicated by an aortocaval fistula. A 76-year-old patient with a history of endovascular treatment for abdominal aortic aneurysm 2 years earlier had a palpable abdominal mass, high-output cardiac failure, and renal failure. A computed tomographic scan and angiography revealed bending of the right iliac limb, a type I endoleak, and rupture of the aneurysm into the inferior vena cava with aortocaval fistula formation. An iliac extension was positioned in the right external iliac artery. The procedure was finished successfully. Control angiography showed normal flow within the endoprosthesis, and both iliac arteries were without signs of endoleakage and aortocaval fistula. Ectatic common iliac artery may lead to a late distal attachment site endoleak. The application of a stent graft in cases of secondary aortocaval fistula after stent graft repair is a good option, particularly in emergency cases.


Abdominal aneurysm Endoleak Stent graft Aortocaval fistula 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Robert Juszkat
    • 1
    Email author
  • Fryderyk Pukacki
    • 2
  • Anna Zarzecka
    • 1
  • Jerzy Kulesza
    • 1
  • Wacław Majewski
    • 2
  1. 1.Department of RadiologyPoznań University of Medical SciencesPoznańPoland
  2. 2.Department of General and Vascular SurgeryPoznań University of Medical SciencesPoznańPoland

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