Aun sin causar síntomas, un aneurisma aórtico puede ser muy peligroso, en . siguientes indicios de que el aneurisma aórtico se ha roto: • Dolor repentino e. Cohorte histórica de pacientes con diagnóstico de aneurisma de aorta abdominal aneurisma roto reparo abierto; Grupo 2, pacientes electivos reparo abierto;. Los hombres mayores de 65 años que han fumado en algún momento de la vida corren el riesgo más alto de tener un aneurisma aórtico.

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As endovascular materials continue to evolve, new occluders or endoprostheses exclusively for venous applications may become the first choice for treatment of aortocaval fistulae. Subscriber If you already have your login data, please click here. Additionally, treatment of the aneurysm without occlusion of the fistula could predispose to leakage, because of persistence of the fistula canal.

High velocity flow was observed at the right posterolateral wall, suggestive of an arteriovenous fistula aneurksma a diameter of 5 mm, communicating between the aneurysm and the inferior vena cava.

Aneurisma de aorta abdominal roto para veia cava inferior: He complained of an abdominal pulsating mass, associated with diffuse abdominal pains that were intermittent and had had onset a long time previously.

A computerised axial tomography scan showed the presence of an infrarenal chronic rupture of an AAA with a maximum diameter of 5 cm, which extended as far as the iliac bifurcation, with contained aortic rupture in the retroperitoneum and in both psoas compartments.

The patient was discharged from hospital with no further incidences and in later check-ups no postoperative complications were observed. It is believed that increased tension in the walls of large aneurysms can cause an inflammatory reaction resulting in adhesion to the adjacent vein and culminating in erosion of the adherent layers and fistula formation. Previous article Next article.

Despite the presence of cardiac chamber dilatation seen on tomography, the echocardiogram showed discrete atrial enlargement and preserved cardiac function. This case suggests that, in patients with AAA and evident vertebral hyperostosis, the diameter of the AAA is a risk factor for rupture that is less important than in patients without hyperostosis; earlier treatment should be considered in these cases. Conclusions This case suggests that, in patients with AAA and evident vertebral hyperostosis, the diameter of the AAA is a risk factor for rupture that is less important than in patients without hyperostosis; earlier treatment should be considered in these cases.


Aortocaval fistulae are rare entities with a variety of etiologies and are very often associated with significant morbidity and mortality.

Angiotomography of the aorta showed aneurysmal dilatation, roro at the infrarenal abdominal aorta, extending to the bifurcation of the common iliac arteries and measuring 9. Case report We describe the case of an year-old male who visited the emergency department because of a day history of symptoms of muscle weakness accompanied by a high temperature, anaemia and normal blood pressure.

Received Nov 23; Accepted Apr 3.

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Transcatheter closure of aortocaval fistula with the amplatzer duct occluder. Print Send to a friend Export reference Mendeley Statistics.

January Pages SRJ is a prestige metric based on the idea that not all citations are the same. Contributed by Author contributions Conception and design: SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.

A year-old male patient who was a smoker with a history of drinking and rlto preexisting infrarenal abdominal aortic aneurysm diagnosed 15 years previously, but not monitored regularly, was referred to the Endovascular Surgery Service at our institution aneirisma evaluation and possibly for treatment.

The right cardiac chambers were also enlarged and there was pleural effusion with atelectasis of the lower pulmonary lobes, bilaterally.

Use of the vascular occluder in combination with zneurisma bifurcated endograft to treat this case of infrarenal abdominal aortic aneurysm with an aortocaval fistula was successful and immediate results were satisfactory. No conflicts of interest declared concerning the publication of this article. The patient recovered well during the postoperative period and was discharged on the fifth day, in good clinical condition and with the lower limb edema in regression.

Fue dado de alta sin incidencias y en revisiones posteriores no se observaron complicaciones postoperatorias. BLA Responsabilidade geral pelo estudo: How to perform transcaval access and closure for transcatheter aortic valve implantation.

A review of the literature published by Antoniou et al. The Journal publishes Original and Review articles, as well as those on continuing education, Scientific Letters and Images, Letters to the Editor, Abstract Reviews, and Special Articles, with all of them being subjected to a double-blind peer review system.


CiteScore measures average citations received per anneurisma published. Paradoxical pulmonary embolism and endoleaks are the most concerning complications linked with endovascular treatment. Angiologia e Cirurgia Vascular.

The great majority are the result of erosion or rupture of an abdominal aorta aneurysm into the rooto vena cava. Pensando nisso, ElKassaby et al.

It was also possible to observe that the inferior vena cava was patent and the occluder was correctly positioned and with no evidence of secondary oartico Figure 6.

Using a vascular occluder in combination with a bifurcated endograft is a good option for the treatment of an abdominal aortic aneurysm with aneuirsma fistula. Via telephone he states that he has no new complaints or related symptoms.

Habla con el doctor sobre el aneurisma aórtico abdominal –

It is believed that increased tension against the aneurysm wall causes an inflammatory reaction and adhesion to the adjacent vein — generally the inferior vena cava — resulting in erosion of the walls and formation of the fistula. Fistular path catheterized with 5Fr JR catheter via right venous access. Footnotes Fonte de financiamento: Endovascular exclusion of a large spontaneous aortocaval fistula in a patient with a ruptured aortic aneurysm. Aneurisma abdominal com imagem de trombos murais ao ultrassom em modo B.

Author information Article notes Copyright and License information Disclaimer. Although this application was off-label, the occluder was a good fit to the arterial and venous walls, fulfilling its role without causing major technical difficulties during placement and release, since the fistular path had been catheterized in advance.

Habla con el doctor sobre el aneurisma aórtico abdominal

You can change the settings or obtain more information by clicking here. When occluding the fistula canal prior to introduction of the endograft, we therefore manipulated the lumen of the aneurysm as little as possible to avoid displacement of thrombi, and consequently PPE. Conventional surgical treatment has high mortality rates. On rare occasions paradoxical pulmonary embolism PPE may be caused by thrombi from the aneurysm entering venous circulation.