Endovascular repair of a chronic aortocaval fistula using a thoracic aortic endoprosthesis.
Penetrating abdominal trauma with injury to the aorta and vena cava usually requires emergent intervention and is frequently lethal. Formation of a chronic aortocaval fistula (ACF) is an uncommon late complication of these injuries. We report a case of an ACF presenting 17 years after a gunshot wound to the abdomen, with progressive congestive heart failure as the presenting symptom. The ACF was successfully treated with an endoprosthesis designed for the thoracic aorta.
Mitchell
Marc E
ME
Division of Vascular Surgery, University of Mississippi Medical Center, Jackson, MS, USA. memitchell@surgery.umsmed.edu
McDaniel
Huey B
HB
Rushton
Fred W
FW
D000328:Adult; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002908:Chronic Disease; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D011474:Prosthesis Design; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000293:injuries / Q000601:surgery*; D014948:Wounds, Gunshot / Q000150:complications*