Endovascular management of a spontaneous aorto-caval fistula resulting from abdominal aortic aneurysm: case report and literature review
BackgroundAorto-caval fistula is a rare complication of abdominal aortic aneurysms that can occur spontaneously, iatrogenically, or traumatically, associated with high morbidity and mortality. Endovascular stent graft repair represents a practical approach to managing this fatal condition.Case prese...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1518025/full |
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| author | Dongbo Wu Cheng Peng Zhiyong Zhou Jie Chen Bin He Zhidong Ye |
| author_facet | Dongbo Wu Cheng Peng Zhiyong Zhou Jie Chen Bin He Zhidong Ye |
| author_sort | Dongbo Wu |
| collection | DOAJ |
| description | BackgroundAorto-caval fistula is a rare complication of abdominal aortic aneurysms that can occur spontaneously, iatrogenically, or traumatically, associated with high morbidity and mortality. Endovascular stent graft repair represents a practical approach to managing this fatal condition.Case presentationA 75-year-old male patient was admitted to the nephrology department of our hospital, complaining of acute back pain, hematuria, and repeated vomiting for one week. The laboratory assessments yielded high creatinine levels, indicating an acute renal impairment. Computed tomography angiography revealed an aorto-caval fistula complicating infrarenal abdominal aortic aneurysm. The patient was successfully treated with the endovascular approach by deploying covered stent grafts that completely excluded the fistula.ConclusionUtilizing covered stent grafts for endovascular management of aorto-caval fistula is a good alternative to conventional surgery, especially in elderly high-risk patients. |
| format | Article |
| id | doaj-art-df661fa2182141a1829e0249973c07d2 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-df661fa2182141a1829e0249973c07d22025-01-30T06:22:43ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011210.3389/fcvm.2025.15180251518025Endovascular management of a spontaneous aorto-caval fistula resulting from abdominal aortic aneurysm: case report and literature reviewDongbo Wu0Cheng Peng1Zhiyong Zhou2Jie Chen3Bin He4Zhidong Ye5Department of Vascular Surgery, Xing'an League People’s Hospital, Ulanhot, ChinaDepartment of Vascular Surgery, Xing'an League People’s Hospital, Ulanhot, ChinaDepartment of Vascular Surgery, Xing'an League People’s Hospital, Ulanhot, ChinaDepartment of Cardiovascular Surgery, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Cardiovascular Surgery, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Cardiovascular Surgery, China-Japan Friendship Hospital, Beijing, ChinaBackgroundAorto-caval fistula is a rare complication of abdominal aortic aneurysms that can occur spontaneously, iatrogenically, or traumatically, associated with high morbidity and mortality. Endovascular stent graft repair represents a practical approach to managing this fatal condition.Case presentationA 75-year-old male patient was admitted to the nephrology department of our hospital, complaining of acute back pain, hematuria, and repeated vomiting for one week. The laboratory assessments yielded high creatinine levels, indicating an acute renal impairment. Computed tomography angiography revealed an aorto-caval fistula complicating infrarenal abdominal aortic aneurysm. The patient was successfully treated with the endovascular approach by deploying covered stent grafts that completely excluded the fistula.ConclusionUtilizing covered stent grafts for endovascular management of aorto-caval fistula is a good alternative to conventional surgery, especially in elderly high-risk patients.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1518025/fullaorto-caval fistulaabdominal aortic aneurysmendovascular stent-graft repairEndoleakscase report |
| spellingShingle | Dongbo Wu Cheng Peng Zhiyong Zhou Jie Chen Bin He Zhidong Ye Endovascular management of a spontaneous aorto-caval fistula resulting from abdominal aortic aneurysm: case report and literature review Frontiers in Cardiovascular Medicine aorto-caval fistula abdominal aortic aneurysm endovascular stent-graft repair Endoleaks case report |
| title | Endovascular management of a spontaneous aorto-caval fistula resulting from abdominal aortic aneurysm: case report and literature review |
| title_full | Endovascular management of a spontaneous aorto-caval fistula resulting from abdominal aortic aneurysm: case report and literature review |
| title_fullStr | Endovascular management of a spontaneous aorto-caval fistula resulting from abdominal aortic aneurysm: case report and literature review |
| title_full_unstemmed | Endovascular management of a spontaneous aorto-caval fistula resulting from abdominal aortic aneurysm: case report and literature review |
| title_short | Endovascular management of a spontaneous aorto-caval fistula resulting from abdominal aortic aneurysm: case report and literature review |
| title_sort | endovascular management of a spontaneous aorto caval fistula resulting from abdominal aortic aneurysm case report and literature review |
| topic | aorto-caval fistula abdominal aortic aneurysm endovascular stent-graft repair Endoleaks case report |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1518025/full |
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