A Rare Case of Ruptured Abdominal Aortic Aneurysm with the Formation of a Thrombosed Aortocaval Fistula, Thrombosis of the Inferior Vena Cava and Iliac Veins
https://doi.org/10.23934/2223-9022-2022-11-2-379-383
Abstract
This article considers a rare case of rupture of abdominal aortic aneurysm with thrombosed aorto-caval fistula formation, with thrombosis of the inferior vena cava and iliac veins. During the multiphase computed tomography, early enhancement of inferior vena cava was not obtained, but non-contrasting aorto-caval fistula was revealed in the venous contrast phase, as well as the absence of the contrast in the adjacent parts of the inferior vena cava and iliac veins. The patient was successfully operated and the diagnosis was confirmed intraoperatively.
About the Authors
M. V. Vishnyakova (Jr)Russian Federation
Marina V. Vishnyakova, Doctor of Medical Sciences, Head
61/2, Shchepkina, Moscow, 129110, Russian Federation
R. N. Larkov
Russian Federation
Roman N. Larkov - Doctor of Medical Sciences, Head of the Department of Vascular Surgery and Coronary Artery Disease
61/2, Shchepkina, Moscow, 129110, Russian Federation
Y. Y. Kolesnikov
Russian Federation
Yuri Y. Kolesnikov - Researcher, Department of Vascular Surgery and Coronary Artery Disease
61/2, Shchepkina, Moscow, 129110, Russian Federation
G. S. Muzafarova
Russian Federation
Gulishe S. Muzafarova - Junior Researcher of the Department of Diagnostic Radiology
61/2, Shchepkina, Moscow, 129110, Russian Federation
References
1. Clancy K, Wong J, Spicher A. Abdominal Aortic Aneurysm: A Case Report and Literature Review. Perm J. 2019;23:18.218. PMID: 31926569 https://doi.org/10.7812/TPP/18.218
2. Lindholt JS, Diederichsen AC, Rasmussen LM, Frost L, Steffensen FH, Lambrechtsen J, et al. Survival, Prevalence, Progression and Repair of Abdominal Aortic Aneurysms: Results from Three Randomised Controlled Screening Trials Over Three Decades. Clin Epidemiol. 2020;12:95–103. PMID: 32158272 https://doi.org/10.2147/CLEP.S238502
3. Prozorov SA, Belozyorov GYe, Sharifullin FA, Dubrov EYa, Mikhailov IP, Goldina I. Radiation diagnosis of aortic aneurysmal ruptures with formation of anastomoses with the inferior cava and various organs. Journal of Radiology and Nuclear Medicine. 2007;1:31–35. (in Russ.).
4. Zarinsh KK, Geverts BL. Atlas sosudistoy khirurgii. Moscow: GEOTAR-Media Publ.; 2009. (in Russ.).
5. Schmidt R, Bruns C, Walter M, Erasmi H. Aorto-caval fistula – an uncommon complication of infrarenal aortic aneurysms. Thorac Cardiovasc Surg. 1994;42(4):208–111. PMID: 7825158 https://doi.org/10.1055/s-2007-1016489
6. Orion KC, Beaulieu RJ, Black JH 3rd. Aortocaval Fistula: Is Endovascular Repair the Preferred Solution? Ann Vasc Surg. 2016;31:221–228. PMID: 26597238 https://doi.org/10.1016/j.avsg.2015.09.006
7. de Oliveira C, Schmid BP, Molinari GJDP, Guillaumon AT. Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review. J Vasc Bras. 2021;20:e20200174. PMID: 34093691 https://doi.org/10.1590/1677-5449.200174
8. Ismail MA, Van Meter T. Iliocaval fistula with high output cardiac failure. Radiol Case Rep. 2019;14(4):456–458. PMID: 30733848 https://doi.org/10.1016/j.radcr.2019.01.005
9. Charif F, Nassar P, Youssef D, Neghawi Z, Saab M. High Output Heart Failure Secondary to Aorto-Caval Fistula Treated With an Amplatzer Septal Occluder: Case Report and Review of Literature. Cureus. 2021;13(4): e14430. PMID: 33996296 https://doi.org/10.7759/cureus.14430
10. Tsolakis JA, Papadoulas S, Kakkos SK, Skroubis G, Siablis D, Androulakis JA. Aortocaval Fistula in Ruptured Aneurysms. Eur J Vasc Endovasc. Surg. 1999;17(5):390–393. PMID: 10329521 https://doi.org/ 10.1053/ejvs.1998.0777
11. van Keulen CJ, Teijink JA, Rauwerda JA. Inferior vena cava thrombosis, aortocaval fistula and aortic aneurysm: a unique combination. Eur J Vasc Endovasc Surg. 1996;12(4):501–502. PMID: 8980445 https://doi.org/10.1016/s1078-5884(96)80022-0
12. Syme J. Case of Spontaneous Varicose Aneurism. Edinb Med Surg J. 1831;36(108):104–105. PMID: 30329946
13. Beveridge CJ, Pleass HC, Chamberlain J, Wyatt MG, Rose JD. Aortoiliac aneurysm with arteriocaval fistula treated by a bifurcated endovascular stent-graft. Cardiovasc Intervent Radiol. 1998;21(3):244–246. PMID: 9626443 https://doi.org/10.1007/s002709900253
14. Vishnyakova Jr. MV, Lar’kov RN, Vishnyakova MV, Osiev AG. Multidetector Computed Tomography for Identification of Instability of Aortic Aneurysm Wall. Almanac of Clinical Medicine. 2016;(38):27–33. (in Russ.). https://doi.org/10.18786/2072-0505-2015-38-27-33
Review
For citations:
Vishnyakova (Jr) M.V., Larkov R.N., Kolesnikov Y.Y., Muzafarova G.S. A Rare Case of Ruptured Abdominal Aortic Aneurysm with the Formation of a Thrombosed Aortocaval Fistula, Thrombosis of the Inferior Vena Cava and Iliac Veins. Russian Sklifosovsky Journal "Emergency Medical Care". 2022;11(2):379-383. https://doi.org/10.23934/2223-9022-2022-11-2-379-383