PMC3924014_01
Contrast-enhanced abdominal CT images. (A-C) Images at diagnosis showed 40x38 mm sized right iliac artery aneurysm and iliocaval fistula (black arrow) with thrombus (white arrows). (D-F) Follow-up images at 6 months after endovascular stent-graft repair demonstrated patency of the graft, without evidence of graft migration or aortocaval communication. (A, D) Transverse veiw; (B) Coronal view; (C) Sagittal view; (E) Coronal maximal intensity projection view; (F) Sagittal maximal intensity projection view.
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F1
In that hospital, right iliac artery aneurysm (4.5 cm in diameter) with iliocaval shunt combined with thrombus was found incidentally by contrast-enhanced computed tomography (CT) (Fig. 1A-C). CT demonstrated that the stent-graft was patent and well-postioned, without evidence of graft migration, aortacaval communication or endoleak (Fig. 1D-F).
Contrast-enhanced chest CT images. (A, B) Images at diagnosis showed pulmonary thromboembolism (arrows) that involved right lower lobe base segmental pulmonary artery. (C, D) Follow-up chest CT scans at 6 months after coumadization showed much regressed pulmonary embolism. (A, C) Arterial phase; (B, D) Venous phase.
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F2
Contrast-enhanced chest CT was performed and showed pulmonary thromboembolism involved right lower lobe base segmental pulmonary artery (Fig. 2A, B). Pulmonary embolism was mostly regressed (Fig. 2C, D).
Angiography findings. (A) Embolization of right common iliac artery was performed with PLUG 10 mm (dotted arrow). (B) Pelvic arteriogram showed aneurysmal dilatation of right common iliac artery, iliocaval shunt and some filling defects near the aneurysm (white arrow indicate thrombus). (C) Angiography after deployment of the stents showed well implanted graft stents and no visible of IVC.
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F3
Aga Medical Corp) (Fig. 3A). Angiogram showed aneurysmal dilatation of right common iliac artery and iliocaval shunt. Some filling defects near the aneurysm, suggesting of thrombi (Fig. 3B). After the procedure, aortogram showed well implanted graft stents and no visible of IVC and endoleak (Fig. 3C).