title: Delayed Endovascular Aneurysm Repair for Aorto-caval Fistula with Correction of Physiologic and Metabolic Abnormalities: A Disease Process Review.
abstract: Reports regarding the management of ruptured abdominal aortic aneurysm with aorto-caval fistula (ACF) outline various treatment options and high mortality rates associated with this condition. This case illustrates a patient with a large ACF secondary to a prior rupture into the inferior vena cava with a delayed presentation. Because of preexisting conditions and severe metabolic sequelae of the ACF, palliative care was considered by the medical team. Minimally invasive endovascular techniques and prompt treatment resulted in a successful outcome with complete resolution of physiologic and metabolic abnormalities.
authors.affiliation: Department of Vascular Surgery, Grant Medical Center, 285 East State Street, Columbus, OH.
authors.forename: Kenneth R
authors.initials: KR
authors.lastname: Madsen
authors.affiliation: Department of Vascular Surgery, Grant Medical Center, 285 East State Street, Columbus, OH. Electronic address: randall.franz@ohiohealth.com.
authors.forename: Randall W
authors.initials: RW
authors.lastname: Franz
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D015607:Stents; D013997:Time Factors; D061665:Time-to-Treatment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*