Endovascular repair of contained abdominal aortic aneurysm rupture with aortocaval fistula presenting with high-output heart failure

Vasc Endovascular Surg. 2013 Jan;47(1):51-6. doi: 10.1177/1538574412462633. Epub 2012 Oct 9.

Abstract

Aortocava fistula is a rare condition ranging from 0.22% to 6% of all ruptured aortic aneurysms. Recognition and diagnosis of this entity can often be difficult and requires heightened clinical suspicion to ensure that prompt surgical management leads to a favorable outcome. We herein describe the diagnosis and the technical points of successful endovascular management of aortocaval fistula in the setting of a ruptured abdominal aortic aneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Abdominal / diagnostic imaging
  • Aorta, Abdominal / surgery*
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Rupture / diagnosis
  • Aortic Rupture / etiology
  • Aortic Rupture / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation*
  • Cardiac Output, High / diagnosis
  • Cardiac Output, High / etiology*
  • Endovascular Procedures*
  • Heart Failure / diagnosis
  • Heart Failure / etiology*
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex
  • Vascular Fistula / diagnosis
  • Vascular Fistula / etiology
  • Vascular Fistula / surgery*
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / surgery*