Successful surgical treatment of aortocaval fistula using cardiopulmonary bypass

Yamashita, C; Kozawa, S; Kujime, Keiichiro; Okada, Masayoshi

doi:10.1016/0967-2109(95)90892-9

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…The difficulty associated with open surgical repair of this condition is well recognized, 13 and different additions and variations to the standard surgical technique have been anecdotally deemed to be necessary in an attempt to improve the outcomes. [14][15][16][17][18][19][20][21][22] Some patients are not well suited for open repair owing to their age and multiple comorbidities, as in the case of our patient. Surgical intervention would likely have been associated with an extended length of stay owing to prolonged ventilatory support.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Therapy of Spontaneous Aortocaval Fistulae Associated with Abdominal Aortic Aneurysms

León

Arslan²,

Ley³

et al. 2007

Vascular

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We report a case of an abdominal aortic aneurysm (AAA) associated with an aortocaval fistula managed with endovascular techniques. The patient had a known AAA, and on the latest computed follow-up tomographic scan, evidence of fistulization between the aorta and the vena cava was suggested, which was later corroborated by standard contrast angiography. His comorbidities precluded an open repair, and this prompted consideration for an endovascular intervention. Successful exclusion of the AAA was performed, with no evidence of endoleaks or persistence of the fistula. The endovascular approach provides an efficacious alternative to traditional methods for repair of an aortocaval fistula, which is especially important in elderly patients with several comorbidities.

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Section: Discussionmentioning

confidence: 99%

Endovascular Therapy of Spontaneous Aortocaval Fistulae Associated with Abdominal Aortic Aneurysms

León

Arslan²,

Ley³

et al. 2007

Vascular

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“…1 Since 1991, several cases of ACF have been reported, most resulting from spontaneous rupture of an atherosclerotic aneurysm directly into the adjacent IVC. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] ACF may also occur from penetrating abdominal trauma and as a result of iatrogenic trauma sustained at the time of lumbar disc surgery. 20 Infrequent causes include mycotic aneurysm, syphilis, and connective tissue disorders such as EhlersDanlos syndrome and Marfan's syndrome.…”

Section: Discussionmentioning

confidence: 99%

Multiple Aortocaval Fistulas Associated With a Ruptured Abdominal Aneurysm in a Patient With Ehlers-Danlos Syndrome

Taniyasu

Tokunaga

1999

Jpn Circ J

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Aortocaval fistula (ACF) is a rare complication of spontaneous abdominal aortic aneurysm (AAA) rupture, with an incidence of 2-4%. A unique case of ruptured AAA complicated by multiple aortovenous fistulas involving the inferior vena cava and left internal iliac vein is presented, and is the first published report of a patient with Ehlers-Danlos syndrome undergoing surgical treatment for an ACF. (Jpn Circ J 1999; 63: 564 -566)

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Right-to-left shunt due to iatrogenic atrial septal defect manifested by aorto-caval fistula: a case report

Kimura,

Okada,

Obata

et al. 2024

JA Clin Rep

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Background An aorto-caval fistula is a rare but critical complication of abdominal aortic aneurysm (AAA) rupture, leading to high-output heart failure and increased venous pressure. The anesthetic management of such cases, particularly when complicated by an intraoperative right-to-left shunt, is seldom reported. Case presentation A 71-year-old man with a history of atrial fibrillation and catheter ablation presented with heart failure and abdominal pain, leading to cardiac arrest. Imaging revealed an AAA rupture into the inferior vena cava. During emergency surgery, severe venous bleeding was managed using intra-aortic balloon occlusion (IABO). Transesophageal echocardiography (TEE) identified a right-to-left shunt due to an iatrogenic atrial septal defect. Conclusion Early TEE recognition and timely IABO intervention were crucial in managing this complex case, underscoring the importance of these techniques in similar emergency scenarios.

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Successful surgical treatment of aortocaval fistula using cardiopulmonary bypass

Cited by 4 publications

References 2 publications

Endovascular Therapy of Spontaneous Aortocaval Fistulae Associated with Abdominal Aortic Aneurysms

Endovascular Therapy of Spontaneous Aortocaval Fistulae Associated with Abdominal Aortic Aneurysms

Multiple Aortocaval Fistulas Associated With a Ruptured Abdominal Aneurysm in a Patient With Ehlers-Danlos Syndrome

Right-to-left shunt due to iatrogenic atrial septal defect manifested by aorto-caval fistula: a case report

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