Emergent Endovascular Aortic Repair for Ruptured Abdominal Aortic Aneurysm with Aortocaval Fistula Associated with Serious Congestive Heart Failure

Abstract

We report a case in which ruptured abdominal aortic aneurysm with aortocaval fistula associated with serious congestive heart failur was successfully managed by only endovascular aortic repair. After this treatment, the hemodynamics dramatically improved. The blood in the aneurysm sac has been completely thrombosed and type II endoleak has disappeared in a year and six months follow-up. And the diameter of the aneurysm has been significantly getting smaller. Only Endovascular aortic repair is an incomplete treatment, but the operation must be effective as an initial treatment in an emergency. After the operation, it is expected that the remaining fistula will close and type II endoleak will disappear.