Endovascular stent-graft repair of spontaneous aorto-caval fistula secondary to a ruptured abdominal aortic aneurysm: An emergency management of hostile anatomy

Although endovascular aneurysm repair of aorto-caval fistula offers a safe and efficient approach compared to traditional open repair, endovascular techniques for the treatment of aorto-caval fistula with ruptured abdominal aortic aneurysms in emergency circumstance are not well established. This study aims to evaluate the effect of endovascular repair of aorto-caval fistula of a patient with ruptured abdominal aortic aneurysm and hostile anatomy.we report a case of an aorto-caval fistula endovascular repaired in a 78-year-old male using a hybrid stent-graft technique.The patient had an uneventful recovery and CTA follow up showed no sign of ACF or any endoleak.This case highlights ACF might be managed by composite endograft implantation with careful and solid sealing of anchoring zones on the two sides.PubMed2050313X16646526