title: Ruptured iliac artery aneurysm presenting as acute right heart failure and cardiac arrest.
abstract: Aortocaval fistula due to aneurysmal degradation can result in obscure clinical signs but with life-threatening sequelae. Our patient presented with multiple cardiac arrests because of sudden right heart decompensation after a ruptured iliac aneurysm into the adjacent iliac vein. He fully recovered after emergency open surgical repair. High awareness with subtle clinical signs is of great importance.
authors.affiliation: Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.
authors.forename: Maarten J A
authors.initials: MJ
authors.lastname: Loos
authors.affiliation: Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
authors.forename: Marian
authors.initials: M
authors.lastname: Scheer
authors.affiliation: Division of Vascular and Transplant Surgery, Department of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
authors.forename: Jordanus A
authors.initials: JA
authors.lastname: van der Vliet
authors.affiliation: Division of Vascular and Transplant Surgery, Department of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. Electronic address: Michiel.Warle@radboudumc.nl.
authors.forename: Michiel C
authors.initials: MC
authors.lastname: Warlé
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D006323:Heart Arrest / Q000175:diagnosis / Q000209:etiology*; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007084:Iliac Vein / Q000473:pathology; D008297:Male; D012008:Recurrence