Korean J Thorac Cardiovasc Surg.  2018 Dec;51(6):406-409. 10.5090/kjtcs.2018.51.6.406.

Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock

• Kim IH
• Min HK
• Kim JY
• Kim DK
• Kang DK
• Jun HJ
• Hwang YH

• KMID: 2433884
• DOI: http://doi.org/10.5090/kjtcs.2018.51.6.406

Abstract

Aortocaval fistula (ACF) occurs in < 1% of all abdominal aortic aneurysms (AAAs), and in 3% to 7% of all ruptured AAAs. The triad of clinical findings of AAA with ACF are abdominal pain, abdominal machinery bruit, and a pulsating abdominal mass. Other findings include pelvic venous hypertension (hematuria, oliguria, scrotal edema), lower-limb edema with or without arterial insufficiency or venous thrombus, shock, congestive heart failure, and cardiac arrest. Surgery is the main treatment modality. We report successful surgical treatment in a patient with a ruptured AAA with ACF who presented with cardiogenic shock.

Keyword

Abdominal aortic aneurysm; Arteriovenous fistula; Cardiogenic shock

MeSH Terms

Abdominal Pain
Aortic Aneurysm, Abdominal
Arteriovenous Fistula
Edema
Fistula*
Heart Arrest
Heart Failure
Humans
Hypertension
Oliguria
Shock
Shock, Cardiogenic*
Thrombosis