Endovascular Aortic Stenting in Patients with Chronic Traumatic Aortocaval Fistula

Srisuwan, Tanop; Kanjanavanit, Rungsrit

doi:10.3400/avd.cr.13-00078

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…[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. [530][531][532][533] EVAR is preferred, [534][535][536][537][538][539][540] with expected resolution of preoperative heart failure and other physiologic disturbances. [541][542][543][544] If open repair is required, venous bleeding should be anticipated and care taken to minimize the risk of pulmonary air embolism or embolism of thrombotic debris by placement of sponge sticks proximal and distal to the aortocaval fistula for control, followed by direct suture repair of the defect.…”

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

1,765

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

1,765

1,478

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“…Diagnosis is usually confirmed by duplex ultrasound and or computed tomographic angiography (CTA). Dabbouseh NM et al [10], Srisuwan T et al [11], Waldrop JL et al [12], reported three cases of ACF secondary to penetrating trauma. The authors described a delayed diagnosis and successful endovascular repair of ACF.…”

Section: Discussionmentioning

confidence: 99%

High Output Heart Failure Secondary to Aorto-Caval Fistula Treated With an Amplatzer Septal Occluder: Case Report and Review of Literature

Charif

Nassar

Youssef

et al. 2021

Cureus

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Aorto-caval fistula (ACF) is a rare cause of high output heart failure (HOHF). 80 % of cases are due to ruptured abdominal aortic aneurysm, while 10 to 20% are traumatic or congenital. Early diagnosis and treatment are crucial in order to prevent the progression to HOHF. Open surgical repair has been the mainstay therapy of arterio-venous fistulas including aorto-caval fistula; however endovascular approach has become an evolving therapeutic option in the last 20 years. Here, we present a case of high output heart failure secondary to traumatic aorto-caval fistula due to shrapnel injury to the abdomen. Our patient was managed with endovascular approach by the deployment of amplatzer septal occluder that excluded completely the fistula, resulting in the progressive improvement of HOHF. In this manuscript, we review etiologies of high output heart failure and summarize cases of aorto-caval fistula treated with amplatzer septal occluder reported in literature. We also highlight the importance of this endovascular device in the presence of metallic foreign body in the aorta.

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“…This operation adds a small AVF in the groin at the inflow site to avoid stasis of the blood in the graft [ 8 ]. Also our team reported a case recently where the patient had an aortocaval fistula for 40 years and was treated using endovascular therapy [ 9 ]. This patient had a large venous aneurysm in IVC (20 cm in diameter).…”

Section: Discussionmentioning

confidence: 99%

Acute Deep Vein Thrombosis in Venous Aneurysm following Closure of the Chronic Traumatic Arteriovenous Fistulae of the Lower Extremities

Orrapin

Arworn

2016

Case Reports in Surgery

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Chronic traumatic arteriovenous fistula (AVF) commonly results from an unrecognized vascular injury. In this report, there were two cases of chronic traumatic AVF of the legs with a long history of stab (case 1) and shotgun wounds (case 2). Both cases presented with varicose veins together with hyperpigmentation around the ankle of the affected leg. Angiograms showed a single large AVF in case 1, whereas, in case 2, there was a single large AVF together with multiple small AVFs. In both cases large venous aneurysm was found next to a large AVF. An open surgical AVF closure for the large AVF was performed in case 1 successfully, but patient developed acute deep vein thrombosis (DVT) in a large venous aneurysm. In the second case, in order to prevent DVT, only closure of the large AVF was performed, which preserved arterial flow into the venous aneurysm. Case 2 did not have acute DVT. This report raised the concern about acute DVTs in venous aneurysms following the closure of chronic traumatic AVF in terms of prevention. Also chronic traumatic AVF is commonly due to misdiagnosis in the initial treatment, so complete and serial physical examinations in penetrating vascular injury patients are of paramount importance.

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Endovascular Aortic Stenting in Patients with Chronic Traumatic Aortocaval Fistula

Cited by 5 publications

References 10 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

High Output Heart Failure Secondary to Aorto-Caval Fistula Treated With an Amplatzer Septal Occluder: Case Report and Review of Literature

Acute Deep Vein Thrombosis in Venous Aneurysm following Closure of the Chronic Traumatic Arteriovenous Fistulae of the Lower Extremities

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