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Vasc Endovascular Surg. 2013 Aug;47(6):467-9. doi: 10.1177/1538574413490839. Epub 2013 May 24.

Inferior vena cava thrombosis following endovascular repair of acute aortocaval fistula: a word of caution.

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  • 1The Doctor's Clinic, Silverdale, WA, USA.

Abstract

Acute aortocaval fistula (ACF) is a rare, life-threatening condition with a complex clinical presentation, making prompt diagnosis challenging. Primary ACF is believed to be associated with abdominal aortic aneurysm (AAA) rupture in 80% of the cases. Thrombotic complications following endovascular repair for acute ACF are rare and less widely recognized. A high index of suspicion is required for diagnosis of this postoperative complication. We describe a novel, staged management approach using endovascular aortic stent grafts (Gore Excluder; Flagstaff, CA) in both the abdominal aorta and the inferior vena cava (IVC) in a patient with a ruptured AAA and acute ACF with subsequent acute IVC thrombosis.

KEYWORDS:

abdominal aortic aneurysm; aortocaval fistula; endovascular aneurysm repair; inferior vena cava occlusion

PMID:
23709272
[PubMed - indexed for MEDLINE]
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