spontaneous aortocaval fistula due to ruptured infrarenal 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...

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...

Surgical repair of ruptured abdominal aortic aneurysm with non-bleeding aortocaval fistula.

We present a case of an aortocaval fistula (ACF) without bleeding because a clot was covering the fistula. A 60-year-old man was diagnosed as having a ruptured abdominal aortic aneurysm (AAA) and an aortocaval fistula, by enhanced computed tomography (CT). After the aneurysm had been opened, the fistula was detected, but there was no bleeding because it was covered with clot. After graft repair...

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 ...

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

Aorto-caval fistula as a complication of ruptured infrarenal aortic aneurysm.

We present a case of 71 year old man operated in our clinic for ruptured abdominal aneurysm complicated with aorto-caval fistula, which was revealed during the surgery and successfully repaired by direct sutures within the aorta. This is the first record of the aorto-caval fistula that was so far noticed in our clinic. Urgent surgery and repair of the defect conneting aorta and vena cava by dir...