The Common Vein

• 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.

 

 

 

 

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

 

• • • EVAR with
    • coiling of the right internal iliac artery