Mycotic aortocaval fistula: efficient evaluation by bolus-chase MR angiography.
Aortocaval fistula (ACF) is a rare but life-threatening condition. This case report describes the use of bolus-chase gadolinium-enhanced 3D magnetic resonance angiography (MRA) to provide an efficient evaluation of a patient with ACF associated with a mycotic abdominal aortic aneurysm. This case highlights the ability of bolus-chase MRA to provide both the specific diagnosis of ACF as well as the information necessary for extra-anatomic arterial bypass. Bolus-chase MRA is a promising method for the evaluation of patients with this disease entity.
Torigian
Drew A
DA
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Carpenter
Jeffrey P
JP
Roberts
David A
DA
D000368:Aged; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000150:complications*; D001011:Aorta / Q000473:pathology*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis; D001164:Arteriovenous Fistula / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008297:Male; D014682:Vena Cava, Inferior / Q000473:pathology*