scholarly journals A rare case of paradoxical pulmonary embolism in spontaneous aortocaval fistula

2021 ◽  
pp. 20200183
Author(s):  
Valentina Vespro ◽  
Stefano Fusco ◽  
Anna Maria Ierardi ◽  
Viviana Grassi ◽  
Ilenia D’Alessio ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Paradoxical Embolism ◽  
Aortocaval Fistula ◽  
Shortness Of Breath ◽  
Right Heart ◽  
Abdominal Ct ◽  
Abdominal Aortic

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.

Endovascular Treatment of Ruptured Abdominal Aortic Aneurysm with Aortocaval Fistula Based on Aortic and Inferior Vena Cava Stent-Graft Placement

2014 ◽  
Vol 28 (8) ◽  
pp. 1933.e1-1933.e5 ◽  
Author(s):  
Pierre Galvagni Silveira ◽  
Josué Rafael Ferreira Cunha ◽  
Guilherme Baumgardt Barbosa Lima ◽  
Rafael Narciso Franklin ◽  
Cristiano Torres Bortoluzzi ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Inferior Vena Cava ◽  
Endovascular Treatment ◽  
Inferior Vena ◽  
Vena Cava ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Aortocaval Fistula ◽  
Graft Placement ◽  
Abdominal Aortic

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

Vascular ◽  
2013 ◽  
Vol 22 (3) ◽  
pp. 202-205 ◽  
Author(s):  
Dariusz Janczak ◽  
Mariusz Chabowski ◽  
Tomasz Szydelko ◽  
Jerzy Garcarek
Keyword(s):  
Inferior Vena ◽  
Vena Cava ◽  
Aortic Aneurysms ◽  
Aortocaval Fistula ◽  
Computed Tomographic ◽  
Abdominal Aortic ◽  
Computed Tomographic Scan ◽  
Effective Option ◽  
Liver Parameters

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.

Endovascular Management of a Ruptured Iliac Aneurysm With an Inferior Vena Cava Fistula

2020 ◽  
Vol 54 (7) ◽  
pp. 638-642
Author(s):  
Jose Ignacio Torrealba ◽  
José Francisco Vargas ◽  
Renato A. Mertens ◽  
Francisco J. Valdes ◽  
Leopoldo A. Marine ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Aortocaval Fistula ◽  
Iliac Aneurysm ◽  
Endovascular Management ◽  
Abdominal Aortic ◽  
High Output Heart Failure ◽  
The Right ◽  
High Output

Aortocaval fistula is uncommon and often associated with a ruptured iliac or abdominal aortic aneurysm. It has a high mortality secondary to the aneurysmal rupture but also to a high output heart failure. Open surgery has been the standard; however, endovascular management has emerged with lower mortality. We present a patient with a ruptured iliac aneurysm and an inferior vena cava fistula successfully treated with an endograft with embolization of the right hypogastric artery. The patient arrested on induction and was resuscitated with aortic balloon inflation. Endovascular therapy can be safely used in the management of iliac/aortocaval fistula.

Endovascular Treatment of an Aortic Aneurysm Ruptured into the Inferior Vena Cava

2000 ◽  
Vol 7 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Thomas Umscheid ◽  
Wolf-J. Stelter
Keyword(s):  
Aortic Aneurysm ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Aortocaval Fistula ◽  
Effective Treatment Option ◽  
Computed Tomographic ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Life Threatening Complication

Purpose: To report the endovascular repair of a rare abdominal aortic aneurysm (AAA) rupture into the inferior vena cava. Methods and Results: A 74-year-old man with a 6.0-cm saccular aortic aneurysm and a previously undiagnosed aortocaval fistula of more than 2 weeks' duration was treated successfully with a Vanguard bifurcated stent-graft. The aneurysm was excluded and no endoleak or communication between the aorta and inferior vena cava was seen on computed tomographic imaging at the 6-month evaluation. Conclusions: Aortic endografting in this life-threatening complication is an effective treatment option that avoids the significant blood loss encountered in conventional repair.

Perforation of inferior vena cava during filter placement

VASA ◽  
2011 ◽  
Vol 40 (2) ◽  
pp. 157-162 ◽  
Author(s):  
Piecuch ◽  
Wiewiora ◽  
Nowowiejska-Wiewiora ◽  
Szkodzinski ◽  
Polonski
Keyword(s):  
Pulmonary Embolism ◽  
Inferior Vena Cava ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Retroperitoneal Hematoma ◽  
Ivc Filter ◽  
Filter Placement ◽  
Therapeutic Method

The placement of an inferior vena cava (IVC) filter is a therapeutic method for selected patients with deep venous thrombosis and pulmonary embolism. However, insertion and placement of the filter may be associated with certain complications. For instance, retroperitoneal hematoma resulting from perforation of the wall by the filter is such a very rare but serious complication. We report the case of a 64-year-old woman with perforation of the IVC wall and consecutive hematoma caused by the filter who was treated surgically.

scholarly journals Obstruction of the inferior vena cava following bicaval orthotopic heart transplantation: a case series

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Anas Abudan ◽  
Brent Kidd ◽  
Peter Hild ◽  
Bhanu Gupta
Keyword(s):  
Inferior Vena Cava ◽  
Heart Transplantation ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Case Series ◽  
Transoesophageal Echocardiography ◽  
Right Atrial ◽  
Orthotopic Heart Transplantation ◽  
Eustachian Valve

Abstract Background Inferior vena cava (IVC) obstruction is a rare complication of orthotopic heart transplantation (OHT) and is unique to bicaval surgical technique. The clinical significance, diagnosis, complications, and management of post-operative IVC anastomotic obstruction have not been adequately described. Case summary Two patients with end-stage heart failure presented for bicaval OHT. Post-operative course was complicated with shock refractory to fluid resuscitation and inotropic/vasopressor support. Obstruction at the IVC-right atrial (RA) anastomosis was diagnosed on transoesophageal echocardiography (TOE), prompting emergent reoperation. In both cases, a large donor Eustachian valve was found to be restricting flow across the IVC-RA anastomosis. Resection of the valve resulted in relief of obstruction across the anastomosis and subsequent improvement in haemodynamics and clinical outcome. Discussion Presumably rare, we present two cases of IVC obstruction post-bicaval OHT. Inferior vena cava obstruction is an under-recognized cause of refractory hypotension and shock in the post-operative setting. Prompt recognition using TOE is crucial for immediate surgical correction and prevention of multi-organ failure. Obstruction can be caused by a thickened Eustachian valve caught in the suture line at the IVC anastomosis, which would require surgical resection.

Symptomatic Abdominal Aortic Aneurysm with Inferior Vena Cava Malposition

2007 ◽  
Vol 107 (6) ◽  
pp. 693-694 ◽  
Author(s):  
D. J. Evers ◽  
J. H. M. B. Stoot ◽  
P. J. Breslau
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Abdominal Aortic
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