Novel Endovascular Approach to an Aortocaval Fistula Complicating a Ruptured AAA

Symptomatic, acute aortocaval fistula complicating an infrarenal aortic aneurysm.

An 84 year-old man presented with 2 weeks of worsening back pain. At the referring hospital, he was noted to have serum transaminase levels of 600 to 1000 U/L. An ultrasound scan to evaluate his gallbladder was interpreted as showing a 5to 6-cm ruptured aneurysm of the abdominal aorta. He was transferred for management of the aortic aneurysm. On arrival, he was hemodynamically stable, ashen, an...

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 ...

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...

spontaneous aortocaval fistula due to ruptured infrarenal aortic aneurysm

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