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Management of an aorto-caval fistula from a ruptured aortic false aneurysm using a covered stent graft

Department of Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan

*Corresponding author. Tel.: +81-172-39-5074; fax: +81-172-37-8340.

E-mail address: ikuofuku{at}cc.hirosaki-u.ac.jp (I. Fukuda).

An aorto-caval fistula caused by a ruptured false aneurysm of the abdominal aorta was reported. A 70-year-old male who had a history of aorto-femoral bypass was admitted because of right lower abdominal pain. Enhanced computed tomography scans revealed aorto-caval fistula. The patient exhibited high output heart failure and acute renal failure. Stent-grafting for abdominal aorta was performed. Intra- and postoperative examination revealed no leakage from the aorta to the vena cava. Endoluminal treatment for aorto-caval fistula is efficacious as less invasive treatment.

Key Words: Aorto-caval fistula; Stent-grafting; Ruptured abdominal aneurysm; False aneurysm