[Aortocaval fistula in abdominal aorta aneurysm treated by stentgraft and embolization with histoacrylate glue]

Przegl Lek. 2012;69(7):333-6.
[Article in Polish]

Abstract

Aortocaval fistula (ACF) associated with abdominal aortic aneurysm (AAA) constitutes a relatively uncommon complication of AAA, nevertheless it worsens to a great extent the prognosis and its curable treatment is difficult. The fistula itself, in particular high-output ACF, deteriorates the general patient condition and requires an emergency intervention. The simultaneous exclusion of AAA fromcirculation and closure of site of the fistula is the treatment. The typical treatment includes open surgery or alternatively stentgraft implantation. We report a case of a giant non-thrombosed AAA complicated by formation of ACF at the level of origin of the right common iliac artery. Bifurcated stentgraft implantation did not result in closure of ACF. The fistula was definitely closed by means of injection of cyanoacrylate glue between the stentgraft limb and the wall of the native vessel.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged, 80 and over
  • Aortic Aneurysm, Abdominal / complications*
  • Arteriovenous Fistula / etiology
  • Arteriovenous Fistula / therapy*
  • Embolization, Therapeutic*
  • Enbucrilate / therapeutic use*
  • Humans
  • Male
  • Stents
  • Tissue Adhesives / therapeutic use*
  • Vascular Grafting

Substances

  • Tissue Adhesives
  • Enbucrilate