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; Tércio Tanure Júnior; Marcelo Bellini Dalio; Mauricio Serra Ribeiro; Edwaldo Edner Joviliano

doi:10.1016/j.jvscit.2020.08.031

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

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

Authors

Milton Sérgio Bohatch Júnior¹, Tércio Tanure Júnior¹, Marcelo Bellini Dalio¹, Mauricio Serra Ribeiro¹, Edwaldo Edner Joviliano¹

Affiliation

¹ Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of Sao Paulo, São Paulo, Brazil.

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.

Keywords: Abdominal aortic aneurysm; Aneurysm rupture; Arteriovenous fistula; Complication; Endovascular repair; Left renal vein; Stent graft.

Publication types

Case Reports