Arteriolymphatic fistula between the thoracic duct and lumbar artery pseudoaneurysm after open abdominal aortic aneurysm repair
Abstract
Arteriolymphatic fistulas are extremely rare. We describe a 76-year-old man who developed a fistulous communication between the thoracic duct and a lumbar artery pseudoaneurysm after open abdominal aortic aneurysm repair. Only seven similar cases have been reported previously. Because the patient was asymptomatic, conservative management was selected, resulting in spontaneous thrombosis and complete resolution. This case suggests that careful observation may be an appropriate management strategy for selected postoperative arteriolymphatic fistulas detected on follow-up imaging.
Fields of Study & Subjects
Aortic aneurysm repair treatments
Infectious Aortic and Vascular Conditions
Vascular Procedures and Complications
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 3
- Pages
- 102197–102197
- Publication date
- 26 February 2026
- Language
- EN