Aorto-caval fistula clinically presenting as left renal colic Findings of multislice computed tomography

Gedvilas, Donatas; Argatu, Diana; Lukoševičius, Saulius; Basevičius, Algidas

doi:10.3390/medicina44080080

Cited by 5 publications

(3 citation statements)

References 5 publications

(15 reference statements)

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“…520 The triad of abdominal pain, pulsatile mass, and abdominal "machinery" bruit is present in up to 80% of cases. [521][522][523][524] Patients presenting with an abdominal aneurysm and high-output heart failure or a paradoxical pulmonary embolism should also be suspected of having an aortocaval fistula. [525][526][527][528][529] Duplex ultrasound imaging will reveal an arterial flow pattern in the inferior vena cava, and CT imaging will demonstrate contrast material in the inferior vena cava during the arterial phase.…”

Section: Special Considerationsmentioning

confidence: 99%

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Chaikof

Dalman

Eskandari

et al. 2018

Journal of Vascular Surgery

1,890

1,478

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Important new recommendations are provided for the care of patients with an AAA, including suggestions to improve mutual decision-making between the treating physician and the patients and their families as well as a number of new strategies to enhance perioperative outcomes for patients undergoing elective and emergent repair. Areas of uncertainty are highlighted that would benefit from further investigation in addition to existing limitations in diagnostic tests, pharmacologic agents, intraoperative tools, and devices.

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Section: Special Considerationsmentioning

confidence: 99%

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Chaikof

Dalman

Eskandari

et al. 2018

Journal of Vascular Surgery

1,890

1,478

View full text Add to dashboard Cite

show abstract

“…Unusual presentations include a paradoxical pulmonary embolism from an aortic thrombus [10] and acute renal colic, with or without hematuria [11]. Also, increased myocardial oxygen demand following the spontaneous rupture of abdominal aortic aneurysm (AAA) into IVC may precipitate angina [12].…”

Section: Discussionmentioning

confidence: 99%

Aortocaval Fistula: A Rare Cause of Venous Hypertension and Acute Renal Failure

Takkar

Choi

Mastouri³

et al. 2012

Case Reports in Surgery

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Spontaneous rupture of abdominal aortic aneurysm into the inferior vena cava is rare and is associated with high mortality and morbidity. The clinical presentation can be variable and thus the diagnosis can be difficult. It can present with symptoms and signs of an abdominal emergency, venous hypertension, or systemic hypoperfusion. The traditional method of repair has been open surgery which is associated with high rate of complications. We report a case of aortocaval fistula (ACF) presenting with acute renal failure and heart failure, which was treated successfully with a novel, endovascular approach.

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“…Aortocaval fistula (ACF) is an uncommon condition that can result in a number of adverse clinical sequelae. Common manifestations associated with ACF include back pain, abdominal bruit, congestive heart failure or lower extremity edema, hematuria, and liver and renal failure 1, 2, 3, 4, 5, 6, 7. Less frequent complications include paradoxical pulmonary embolism 8 .…”

mentioning

confidence: 99%

Endovascular repair of delayed traumatic aortocaval fistula

Dabbouseh

Mason

Patel

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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Aortocaval fistula (ACF) is an uncommon condition that can result in a number of adverse clinical sequelae. We describe a case of an ACF that occurred several years after open repair of a penetrating injury of the abdominal aorta and inferior vena cava. Whereas ACF can have sudden and catastrophic presentations, our patient had a subacute presentation of high-output heart failure. We were able to fully correct the vascular injury and heart failure physiology and symptoms with endovascular therapy.

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Aorto-caval fistula clinically presenting as left renal colic Findings of multislice computed tomography

Abstract: Summary. Spontaneous aorto-caval fistula is a rare complication of abdominal aortic

Cited by 5 publications

References 5 publications

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Aortocaval Fistula: A Rare Cause of Venous Hypertension and Acute Renal Failure

Endovascular repair of delayed traumatic aortocaval fistula

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