Endovascular repair of contained abdominal aortic aneurysm rupture with aortocaval fistula presenting with high-output heart failure.
Aortocava fistula is a rare condition ranging from 0.22% to 6% of all ruptured aortic aneurysms. Recognition and diagnosis of this entity can often be difficult and requires heightened clinical suspicion to ensure that prompt surgical management leads to a favorable outcome. We herein describe the diagnosis and the technical points of successful endovascular management of aortocaval fistula in the setting of a ruptured abdominal aortic aneurysm.
Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York, NY 10016, USA.
Tejas R
TR
Shah
Parin
P
Parikh
Matthew
M
Borkon
Robert
R
Mocharla
Jacqueline
J
Lonier
Barry P
BP
Rosenzweig
Firas F
FF
Mussa
D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D016534:Cardiac Output, High / Q000175:diagnosis / Q000209:etiology*; D057510:Endovascular Procedures; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*