Endovascular exclusion of a large spontaneous aortocaval fistula in a patient with a ruptured aortic aneurysm

A primary aortocaval fistula (ACF) is present in less than 1% of all abdominal aortic aneurysms (AAA). The case of a 62-year-old patient with a ruptured AAA and ACF was reported. A stent-graft was implanted into the abdominal aorta. An inferior vena cava filter was inserted to prevent pulmonary embo...

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Bibliographic Details
Published in:Vascular 2014-06, Vol.22 (3), p.202-205
Main Authors: Janczak, Dariusz, Chabowski, Mariusz, Szydelko, Tomasz, Garcarek, Jerzy
Format: Article
Language:English
Subjects:
Angiography - methods
Aorta, Abdominal - diagnostic imaging
Aorta, Abdominal - surgery
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - diagnosis
Aortic Aneurysm, Abdominal - physiopathology
Aortic Aneurysm, Abdominal - surgery
Aortic Rupture - complications
Aortic Rupture - diagnosis
Aortic Rupture - physiopathology
Aortic Rupture - surgery
Arteriovenous Fistula - diagnosis
Arteriovenous Fistula - etiology
Arteriovenous Fistula - physiopathology
Arteriovenous Fistula - surgery
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Blood Vessel Prosthesis Implantation - methods
Humans
Male
Middle Aged
Postoperative Complications - prevention & control
Pulmonary Embolism - prevention & control
Stents
Tomography, X-Ray Computed - methods
Treatment Outcome
Vena Cava Filters
Vena Cava, Inferior - diagnostic imaging
Vena Cava, Inferior - surgery
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Description
Summary:A primary aortocaval fistula (ACF) is present in less than 1% of all abdominal aortic aneurysms (AAA). The case of a 62-year-old patient with a ruptured AAA and ACF was reported. A stent-graft was implanted into the abdominal aorta. An inferior vena cava filter was inserted to prevent pulmonary embolism. The patient made a smooth recovery. The follow-up computed tomographic scan three months later did not reveal any evidence of endoleaks or that the fistula was still present. Hemodynamic changes with regard to transient acute liver impairment were discovered (renal and liver parameters were presented). Endovascular exclusion appears to be an effective option in the treatment of an aortocaval fistula in comparison to conventional open repair.
ISSN:1708-5381
1708-539X
DOI:10.1177/1708538113478749