肾旁腹主动脉瘤开放性修复术后主动脉淋巴瘘。病例报告

EJVES Extra Pub Date : 2013-04-01 DOI:10.1016/j.ejvsextra.2012.12.004

A.F. Nath , A. Bell , J. McCaslin , R. Jackson , M.J. Clarke

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引用次数: 1

摘要

主动脉瘘可发生在开放性或血管内动脉瘤修复后。在腹主动脉和胸导管之间形成瘘管是极为罕见的。我们报告第一例腹主动脉瘤(AAA)开放性修复继发主动脉淋巴瘘，并成功进行血管内治疗。报告一例61岁男性患者行肾旁AAA开放性修复术，术后意外发现主动脉淋巴瘘。采用血管内铂线圈治疗。文献中未描述其他实例。血管内治疗不仅有效而且安全。

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Aorto-lymphatic Fistula Following Open Repair of Juxta-renal Abdominal Aortic Aneurysm. A Case Report

Introduction

Aortic fistulae can occur following open or endovascular aneurysm repair. Formation of a fistula between the abdominal aorta and the thoracic duct is extremely rare. We report the first case of aorto-lymphatic fistula secondary to open repair of an abdominal aortic aneurysm (AAA) and its successful endovascular treatment.

Report

A 61 year old male patient underwent open repair of a juxtarenal AAA. Post operatively an aorto-lymphatic fistula was incidentally found. This was treated by endovascular means with platinum coils.

Discussion

No other instances have been described in the literature. Endovascular treatment was not only effective but also safe.

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EJVES Extra

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