A Case of Endovascular Treatment of Ruptured Abdominal Aortic Aneurysm with Aortocaval Fistula

Abstract

We report the endovascular repair of aortocaval fistula (ACF) with congestive heart failure (CHF) and hypotension caused by ruptured abdominal aortic aneurysm (AAA). An 83-year-old woman admitted our hospital for acute CHF and severe lumbago. Computed tomography showed an AAA measuring 7.8 cm with an ACF. We performed endovascular repair on the same day. The postoperative course was good and she discharged the hospital satisfactory. The report which endovascular repair of ACF associated ruptured AAA is rare. So we describe it with additional literatures.