Aortocaval Fistula in Ruptured Aneurysms

Aortocaval fistula--rare complication of ruptured abdominal aortic aneurysms.

Spontaneous Aortocaval Fistula Due to Ruptured Infrarenal Aortic Aneurysm

Dear editor, Aortocaval Fistula (ACF) is a rare condition of an Abdominal Aorta Aneurysm (AAA). ACF caused by perforation of atherosclerotic infrarenal aortic aneurysm into the adjacent IVC, iliac vein, or left renal vein. 1 Its incidence is approximately 1-2% which increases to 2-6.97% in the presence of ruptured AAA. 2 ACF is reported more in males (98%) with an average age of 64 years. 3 The...

Aortocaval Fistula

A 77-year-old Caucasian male with a history of hypertension presented with sudden onset of lower back pain, nausea, and vomiting. Initial vital signs included a pulse rate of 104 beats/minute, a blood pressure of 117/72 mm Hg, and pulse oximetry of 95% on room air. Abdominal examination revealed a midline pulsatile mass and bruit. The patient had bilateral lower extremity edema, which was worse...

spontaneous aortocaval fistula due to ruptured infrarenal aortic aneurysm

Staged Hybrid Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm with Aortocaval Fistula.

There is a growing body of literature expanding the indication of endovascular aneurysm repair, from prophylactic treatment of aneurysms to other indications such as ruptured and complicated ruptured abdominal aneurysms. Concomitant aortocaval fistula is rare, and reports of open and endovascular repair exist. We report a unique hybrid approach to a case of a ruptured abdominal aortic aneurysm ...