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  • Title: Conservative management of persistent aortocaval fistula after endovascular aortic repair.
    Author: van de Luijtgaarden KM, Bastos Gonçalves F, Rouwet EV, Hendriks JM, Ten Raa S, Verhagen HJ.
    Journal: J Vasc Surg; 2013 Oct; 58(4):1080-3. PubMed ID: 23478500.
    Abstract:
    Endovascular repair is a valid alternative for patients with abdominal aortic aneurysms. However, in patients with concomitant aortocaval fistulas, type II endoleaks may result in a persistent communication between the aneurysm sac and the inferior vena cava. In these patients, prompt closure of the persistent fistula has been advocated. We present a patient with an abdominal aortic aneurysm, with aortocaval fistula, who was managed endovascularly. Aneurysm sac shrinkage was observed despite persistent aortocaval communication due to type II endoleak. This case demonstrates that conservative management of type II endoleaks associated with persistent aortocaval fistulas is possible and may result in favorable aneurysm sac remodelling.
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