005Ao Ruptured Iliac Aneurysm region with Aorta to IVC Fistula

  • 78 yo M with PMHx significant for
    • COPD, HTN, HLD,
    • CVA,
    • Afib on xarelto, who presented
      • abdominal/back pain and
      • lower extremity pain with
      • paresthesias.
      • hypotensive,
      • tachycardic,
      • diaphoretic.
      • bounding L femoral pulse and
      • no palpable R femoral pulse.
    • CTA noted

7 years Ago Right Common Iliac Artery Aneurysm

  • R common iliac artery aneurysm, in a 75 year old male on a CT of the pelvis 7 years ago
    Ashley Davidoff MD TheCommonVein.net aneurysm rupture fistula to IVC 001
      • AAA 7.3 cm
        • active extraluminal extravasation of contrast along the posterior margin of the right common iliac artery aneurysm sac.
R common iliac artery aneurysm, in a 75 year old male on a CT of the pelvis showing active extraluminal extravasation of contrast along the posterior margin of the right common iliac artery aneurysm sac
Ashley Davidoff MD TheCommonVein.net aneurysm rupture fistula to IVC 003

 

R common iliac artery aneurysm, in a 75 year old male on a CT of the pelvis showing active extraluminal extravasation of contrast along the posterior margin of the right common iliac artery aneurysm sac
Ashley Davidoff MD TheCommonVein.net aneurysm rupture fistula to IVC 007
R common iliac artery aneurysm, in a 75 year old male on a CT of the pelvis showing active extraluminal extravasation of contrast along the posterior margin of the right common iliac artery aneurysm sac
Ashley Davidoff MD TheCommonVein.net aneurysm rupture fistula to IVC 007b

R common iliac artery aneurysm, in a 75 year old male on a CT of the pelvis showing active extraluminal extravasation of contrast along the posterior margin of the right common iliac artery aneurysm sac
Ashley Davidoff MD TheCommonVein.net aneurysm rupture fistula to IVC 007b

 

 

 

      • given reversal for anticoagulation with Kcentra a
      • 3 units of whole blood
      • massive transfusion protocol

 

      • EVAR with
      • coiling of the right internal iliac artery