Endovascular treatment of an aortic aneurysm ruptured into the inferior vena cava
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Updated: Oct 16, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
1Städtische Kliniken Frankfurt-Höchst, Frankfurt, Germany. umscheid.hahnberg@t-online.de
Purpose:
To report the endovascular repair of a rare abdominal aortic aneurysm (AAA) rupture into the inferior vena cava.
Methods And Results:
A 74-year-old man with a 6.0-cm saccular aortic aneurysm and a previously undiagnosed aortocaval fistula of more than 2 weeks' duration was treated successfully with a Vanguard bifurcated stent-graft. The aneurysm was excluded and no endoleak or communication between the aorta and inferior vena cava was seen on computed tomographic imaging at the 6-month evaluation.
Conclusions:
Aortic endografting in this life-threatening complication is an effective treatment option that avoids the significant blood loss encountered in conventional repair.
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