Aortocaval fistula (ACF) is a well-known but uncommon complication of ruptured abdominal aortic aneurysm (AAA). Even with attentive care, oversight of ACFs may occur in emergency cases. Because mortality due to ACF is high, a rapid multidirectional analysis of the preoperative state leading to a correct diagnosis is essential. Here, we report the case of an 82-year-old man with a ruptured AAA and ACF. He presented with multiple organ failure that was initially attributed to congestive heart failure. He underwent emergent surgery and was diagnosed intraoperatively as having an AAA with ACF. He left the hospital 1 month after the operation without complications.
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Article Synopsis
- This study evaluates the outcomes of open surgical repair in 39 male patients with aorto-caval fistula caused by spontaneous rupture of an abdominal aortic aneurysm, documenting a high 30-day mortality rate of 35.9%.
- The research involved a thorough review of clinical records at a Serbian medical center from January 2012 to February 2023, with a mean follow-up of 3.7 years for those who survived the surgery.
- The findings suggest that given the serious nature of ACF and the risks associated with open repair, endovascular repair techniques are recommended as they may offer better outcomes.
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