Aortocaval fi stula as a complication of abdominal aortic aneurysm Aortocaval fi stula (ACF) is an infrequent complication of abdominal aortic aneurysm (AAA). Diagnosis is suspected by the presence of a continuous abdominal bruit and pulsatile abdominal mass, with variable signs of venous congestion and acute heart failure. Multislice computed tomography (MSCT) is useful in establishing the diagnosis, showing early enhancement of inferior vena cava and, in some cases, identifying the arteriovenous comunication. Surgical treatment is usually complex, with high morbidity and mortality rates. Endovascular treatment seems to be a promising alternative for the management of these patients. We report a case of ACF treated with open surgery and a literature review of this rare condition.

Peroneal artery propeller perforator flap for distal lower limb reconstructionIntroduction: Propeller flaps are local pedicle flaps, based on a perforator vessel, which acts as the pivot point for the skin island that can be rotated up to 180º. These flaps can be performed wherever a perforator vessel of adequate size is encountered, expanding the reconstructive options for lower limb defects. Clinical case: We present a case of reconstruction of soft-tissue defect of the leg using a peroneal artery propeller perforator flap. A review of the main advantages of this technique for reconstruction of lower limb defects is also presented.

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