scholarly journals Aortocaval Fistula: A Rare Cause of Venous Hypertension and Acute Renal Failure

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Chandandeep Takkar ◽  
Lorraine Choi ◽  
Nasim Mastouri ◽  
Pradeep V. Kadambi

Spontaneous rupture of abdominal aortic aneurysm into the inferior vena cava is rare and is associated with high mortality and morbidity. The clinical presentation can be variable and thus the diagnosis can be difficult. It can present with symptoms and signs of an abdominal emergency, venous hypertension, or systemic hypoperfusion. The traditional method of repair has been open surgery which is associated with high rate of complications. We report a case of aortocaval fistula (ACF) presenting with acute renal failure and heart failure, which was treated successfully with a novel, endovascular approach.

1997 ◽  
Vol 1 (3) ◽  
pp. 237-242
Author(s):  
Gen Kuramochi ◽  
Iku Katsui ◽  
Ryou Karasawa ◽  
Mitsuhiro Ueno ◽  
Akira Saitoh ◽  
...  

Vascular ◽  
2007 ◽  
Vol 15 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Luis R. Leon ◽  
Bulent Arslan ◽  
Eleazar Ley ◽  
Nicos Labropoulos‡

We report a case of an abdominal aortic aneurysm (AAA) associated with an aortocaval fistula managed with endovascular techniques. The patient had a known AAA, and on the latest computed follow-up tomographic scan, evidence of fistulization between the aorta and the vena cava was suggested, which was later corroborated by standard contrast angiography. His comorbidities precluded an open repair, and this prompted consideration for an endovascular intervention. Successful exclusion of the AAA was performed, with no evidence of endoleaks or persistence of the fistula. The endovascular approach provides an efficacious alternative to traditional methods for repair of an aortocaval fistula, which is especially important in elderly patients with several comorbidities.


2005 ◽  
Vol 21 (1) ◽  
pp. 221-222 ◽  
Author(s):  
Natalia Ridao-Cano ◽  
Antolina Rodriguez ◽  
Jaime Torrente ◽  
Juan Gallego ◽  
Alberto Barrientos

2021 ◽  
pp. 20200183
Author(s):  
Valentina Vespro ◽  
Stefano Fusco ◽  
Anna Maria Ierardi ◽  
Viviana Grassi ◽  
Ilenia D’Alessio ◽  
...  

Aortocaval fistula (ACF) is a rare complication of abdominal aortic aneurysm (AAA), occurring in less than 1% of all AAAs. Paradoxical embolism can rarely be associated with ACF, pulmonary embolism may originate from dislodgment of thrombotic material from the AAA in the inferior vena cava (IVC) through the ACF. We report a case of a patient admitted to the emergency department with abdominal pain and shortness of breath who immediately underwent thoraco-abdominal CT. Imaging allowed a prompt pre-operative diagnosis of an ACF between an AAA and the IVC, also identifying CT signs of right heart overload and the presence of a paradoxical pulmonary embolism.


1981 ◽  
Vol 141 (2) ◽  
pp. 240-242 ◽  
Author(s):  
Ronald A. Sinicrope ◽  
Robert M. Serra ◽  
John E. Engle ◽  
Gary G. Nicholas ◽  
Michael F. Devine ◽  
...  

1988 ◽  
Vol 49 (1) ◽  
pp. 116-120
Author(s):  
Hidefumi OBO ◽  
Tsutomu SHIDA ◽  
Toshihiro KOTERAZAWA ◽  
Kazunori SHIO ◽  
Shuichi KOZAWA ◽  
...  

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