Rupture of abdominal aortic aneurysm with tear of inferior vena cava in a patient with prior endograft

Journal of Vascular Surgery
Martin A V Tuma, Sachinder Singh Hans

Abstract

We report a case of contained rupture of abdominal aortic aneurysm and tear of the inferior vena cava (IVC) 15 months after placement of an aortic endograft (ANEURX graft, Medtronic, Sunnyvale, Calif). A 63-year-old man with significant coronary artery disease underwent endograft exclusion of abdominal aortic aneurysm with Aneurx graft. The patient was seen with a rupture of the aortic aneurysm, probably caused by poor proximal fixation of the graft associated with separation of the left iliac extension limb from the main body of the graft. Angulated right iliac limb of the stent graft penetrated into the Ivc just above the common iliac junction and caused sealed perforation. Successful repair with aortobiiliac graft reconstruction after removal of the endograft was accomplished. The IVC laceration was repaired. Possible mechanisms of failure of endograft are discussed.

References

Oct 7, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·L NorgrenL Engellau
May 11, 2000·Journal of Vascular Surgery·C K ZarinsT J Fogarty

❮ Previous
Next ❯

Citations

Jul 3, 2007·Radiologic Clinics of North America·Tongfu YuNael Saad
Aug 16, 2016·Annals of Vascular Surgery·Irina CatanescuSachinder Hans

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.