Aortocaval fistula caused by rupture of an abdominal aneurysm was diagnosed before surgery and treated successfully using cardiopulmonary bypass, which effectively controlled the massive bleeding. Rupture of the false lumen of a dissecting aneurysm limited to the abdominal aorta was responsible for the aortocaval fistula. The defect of the inferior vena cava was closed with a running suture and the aneurysm replaced with a collagen-coated Y graft.
MiyoshiAFuchigamiKNakamaTOne operative case of dissecting aneurysm with arterio-venous fistula. Journal of the Japanese Society for Clinical Surgery1984; 45: 43–8.
5.
MahaffeyJHMahaffeyDE. Successful surgical repair of abdominal aortic-vena caval fistula caused by rupture of arteriosclerotic aneurysm. Am Surg1963; 29: 532–5.
6.
CortisBSJablokowVRShahANCortisPF. Spontaneous rupture of an abdominal aortic aneurysm into the inferior vena cava: A case report and review of the literature. Mt Sinai J Med1972; 39: 566–70.
7.
RecklessJPDMcCollITaylorGW. Aorto-caval fistulae: An uncommon complication of abdominal aortic aneurysmBr J Surg1972; 59: 461–5.
