High-output cardiac failure secondary to a post-traumatic iliocaval fistula

Sidi, Chighaly El Hadj; Mgarrech, Imene; AmineTarmiz,

doi:10.1007/s12055-020-00951-y

Cited by 3 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Aortocaval and iliocaval fistulas are a rare complication of AIAA. They occur in 3–7% of ruptures 1,3,5,6,11,12 and iliocaval fistulas account for approximately 20% of cases. 13 Perioperative mortality is very high, with rates varying from 20–55% 8 to 67% depending on the series.…”

Section: Discussionmentioning

confidence: 99%

“…Aortocaval (ACF) or iliocaval (ICF) arteriovenous fistula can be caused by erosion by an enlarged or aneurysmal atherosclerotic aorta, low-velocity trauma, connective tissue disorders, and iatrogenic injury during lumbar disc surgery. [1][2][3][4] They are rare, lifethreatening complications that occur in <1% of abdominal aortoiliac artery aneurysms (AIAAs) and in 3-7% of cases of AIAA rupture. 1,5,6 Classic symptoms such as abdominal and/or back pain, a pulsatile mass and an abdominal machinery bruit, present in only 40% of cases.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endovascular Occlusion of Iliocaval Confluence During Surgical Repair of Iliocaval Fistula due to Ruptured Abdominal Aortoiliac Aneurysm

Tenezaca-Sari

García

Gil-Sala

et al. 2022

Vasc Endovascular Surg

View full text Add to dashboard Cite

We describe the successful use of endovascular occlusion of the iliocaval confluence to prevent excessive bleeding during open repair of an iliocaval arteriovenous fistula due to a ruptured abdominal aortoiliac aneurysm. A 70-year-old man was admitted with chest pain, hemodynamic instability, acute pulmonary edema, and bilateral leg swelling. Computed tomography angiography (CTA) showed a ruptured AAIA with a large primary iliocaval fistula. Aortobifemoral bypass with a Dacron bifurcated prosthetic graft was performed with catheter balloon occlusion of the iliocaval confluence to prevent massive bleeding. Follow-up CTA showed no complications. Iliocaval fistula is a rare complication of AAIA that requires emergent surgery. Endovascular occlusion of iliac or inferior cava vein can control bleeding.

show abstract