Inflammatory abdominal aortic aneurysms (IAAA) represent 3% to 10% of aortic aneurysms
encountered in clinical practice.
1
Their rupture into the inferior vena cava (IVC), developing an aortocaval fistula,
is extremely rare.
2
Surgical management of aortocaval fistula is usually performed with endo-aneurysmal
running suture and rarely with IVC ligation. Prosthetic repair of unsuspected aortocaval
fistula associated with IAAA, through a left flank retroperitoneal approach, has never
been described and was adopted in the reported case.To read this article in full you will need to make a payment
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References
- Inflammatory aortic aneurysms. A clinical review with new perspectives in pathogenesis.Ann Surg. 1997; 225: 155-164
- Aortocaval fistula in ruptured inflammatory aortic aneurysm.J Cardiovasc Surg. 1996; 37: 561-565
- Aorta-vena cava fistula.Surgery. 1989; 105: 1-12
- Diagnosis of aortocaval fistula by computed tomography.Ann Vasc Surg. 1998; 12: 86-87
- Retroperitoneal approach for repair of inflammatory aortic aneurysms.Ann Vasc Surg. 1995; 9: 525-534
Article info
Publication history
Accepted:
September 2,
1999
Footnotes
*Surgery 2000;127:234-6.
**Reprint requests: Mauro Ferrari, MD, Division of General and Vascular Surgery, University of Pisa, Via Paradisa, 2, Cisanello, 56100 Pisa, Italy.
Identification
Copyright
© 2000 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
