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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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Journal of Cardiovascular Surgery 2009 June;50(3):387-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Aortocaval fistula after endovascular stent-grafting of abdominal aortic aneurysm

Fujisawa Y., Kurimoto Y., Morishita K., Fukada J., Saito T., Ohori S., Abe T.

Department of Thoracic and Cardiovascular Surgery Sapporo Medical University School of Medicine Sapporo, Japan


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The authors present a case report of a 79-year-old man with insufficient cardiac contractile function who underwent endovascular stent-grafting for an abdominal aortic aneurysm. Thirty months later, the aneurysm ruptured into the inferior vena cava and subsequently formed an aortocaval fistula caused by migration of the stent-graft. Urgent secondary endovascular stent-grafting successfully excluded the blood flow into the vena cava. Endovascular stent-grafting is deemed suitable for treating this serious disorder, especially in severely debilitated or compromised patients who might not withstand a standard surgical intervention. Furthermore, in patients with previous stent-grafting, since the primary stent-graft makes repair by open surgery more difficult, a secondary endovascular intervention is recommended if feasible.

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