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EnglishA 72-year-old man with sudden abdominal pain and congestive cardiac failure presented a high-flow aortocaval fistula with a large abdominal aortic aneurysm as detected by Duplex ultrasonography and computed tomography angiography. As the patient’s multiple comorbidities precluded open repair, an emergency left aortouniiliac stent-graft deployment and femoro-femoral crossover bypass grafting were performed. Notwithstanding, incomplete exclusion of the fistula due to a small inflow from the contralateral iliac axis, the patient’s cardiac overload decreased with a rapid resolution of cardiac failure, allowing for a staged ligation of the right iliac artery with a complete occlusion of the aortocaval fistula. At present there have been only 12 known cases, including our own, of patients treated with aortic stent-grafts; however, in consideration of the high mortality rate of open repair, endovascular repair is increasingly being recognized as a valuable treatment option
Bracale, U., Del Guercio, L., Porcellini, M., & Bracale, G. (2009). Emergency endovascular repair of an acute aortocaval fistula with AAA: case report and review of the literature. ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 16(3), 199-202 [10.1177/152660280200900212].
| Data di pubblicazione: | 2009 | |
| Titolo: | Emergency endovascular repair of an acute aortocaval fistula with AAA: case report and review of the literature | |
| Autori: | ||
| Citazione: | Bracale, U., Del Guercio, L., Porcellini, M., & Bracale, G. (2009). Emergency endovascular repair of an acute aortocaval fistula with AAA: case report and review of the literature. ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 16(3), 199-202 [10.1177/152660280200900212]. | |
| Rivista: | ||
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1177/152660280200900212 | |
| Abstract: | A 72-year-old man with sudden abdominal pain and congestive cardiac failure presented a high-flow aortocaval fistula with a large abdominal aortic aneurysm as detected by Duplex ultrasonography and computed tomography angiography. As the patient’s multiple comorbidities precluded open repair, an emergency left aortouniiliac stent-graft deployment and femoro-femoral crossover bypass grafting were performed. Notwithstanding, incomplete exclusion of the fistula due to a small inflow from the contralateral iliac axis, the patient’s cardiac overload decreased with a rapid resolution of cardiac failure, allowing for a staged ligation of the right iliac artery with a complete occlusion of the aortocaval fistula. At present there have been only 12 known cases, including our own, of patients treated with aortic stent-grafts; however, in consideration of the high mortality rate of open repair, endovascular repair is increasingly being recognized as a valuable treatment option | |
| Settore Scientifico Disciplinare: | Settore MED/22 - Chirurgia Vascolare | |
| Appare nelle tipologie: | 1.01 Articolo in rivista |
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