Complete Endovascular Management of a Spontaneous Aorto-left Renal Vein Fistula Caused by Ruptured Abdominal Aortic Aneurysm Under Local Anaesthetic: A Case Report
D. Kamali, G. Dobson, A. Stannard, M. Thomas, S. Milburn, P. Wong
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引用次数: 4
Abstract
Introduction
Aorto-left renal vein fistulae (ALRVF) are extremely rare, with few cases reported in the literature. We report the first case of complete endovascular management of a spontaneous ALRVF secondary to a ruptured abdominal aortic aneurysm (AAA) under local anaesthetic.
Report
A 73-year-old man presented with acute left loin pain and haematuria. A CT scan demonstrated an infra-renal AAA, rupturing posteriorly into a retroaortic left renal vein. Given aneurysm suitability and patient factors, this was treated by endovascular management.
Discussion
Open operations in such cases are associated with high morbidity and mortality. Endovascular stenting provides a lifesaving alternative.
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