Percutaneous balloon occlusion of the inferior vena cava as an adjunct for treating ruptured type IV thoracoabdominal aneurysm and aortocaval fistula.
case_report · Level V
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Abstract
Spontaneous aortocaval fistulas are rare and thoracoabdominal aneurysms eroding into the inferior vena cava are rarer still. We describe a patient who presented to our hospital with a fistula between a Type IV thoracoabdominal aneurysm and the inferior vena cava. Expanding endovascular capabilities of vascular surgeons enabled us to insert proximal and distal occluding balloon catheters into the vena cava which greatly minimized blood loss.
Medical subject headings
- Aneurysm, Ruptured
- Aortic Aneurysm, Abdominal
- Aortic Aneurysm, Thoracic
- Arteriovenous Fistula
- Balloon Occlusion