Management of an aorto-caval fistula from a ruptured aortic false aneurysm using a covered stent graft.
An aorto-caval fistula caused by a ruptured false aneurysm of the abdominal aorta was reported. A 70-year-old male who had a history of aorto-femoral bypass was admitted because of right lower abdominal pain. Enhanced computed tomography scans revealed aorto-caval fistula. The patient exhibited high output heart failure and acute renal failure. Stent-grafting for abdominal aorta was performed. Intra- and postoperative examination revealed no leakage from the aorta to the vena cava. Endoluminal treatment for aorto-caval fistula is efficacious as less invasive treatment.
Department of Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan. ikuofuku@cc.hirosaki-u.ac.jp
Ikuo
I
Fukuda
Masahito
M
Minakawa
Kozo
K
Fukui
Yasuyuki
Y
Suzuki
D000368:Aged; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D001027:Aortography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D010690:Phlebography; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*