Related Experiment Video

Updated: May 30, 2026

Technical Aspects of the Mouse Aortocaval Fistula
06:12

Technical Aspects of the Mouse Aortocaval Fistula

Published on: July 11, 2013

Aorto-caval fistula as a complication of ruptured infrarenal aortic aneurysm

Alen Karic1, Emir Mujanovic, Zoran Jerkic

  • 1Cardio-Vascular Clinic. University Clinical Centre Tuzla, Bosnia and Herzegovina. alen_karic@bih.net.ba

Medicinski Arhiv
|July 23, 2011
PubMed

Insights

A ruptured abdominal aortic aneurysm complicated by an aorto-caval fistula was successfully repaired with direct sutures. This rare complication requires urgent surgical intervention for both the fistula and the aneurysm.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Surgery

Background:

  • Ruptured abdominal aortic aneurysms (rAAAs) are life-threatening emergencies.
  • Aorto-caval fistulas are rare but serious complications of rAAAs.

Observation:

  • A 71-year-old male presented with a ruptured abdominal aortic aneurysm.
  • An aorto-caval fistula was discovered intraoperatively during aneurysm repair.

Findings:

  • The aorto-caval fistula was successfully repaired using direct sutures to the aorta.
  • The ruptured abdominal aortic aneurysm was subsequently repaired with a tube graft.

Implications:

  • This case highlights the importance of considering aorto-caval fistula in patients with rAAA.
  • Prompt surgical repair of aorto-caval fistulas is crucial for patient survival.
  • Direct aortic suturing is a viable technique for repairing aorto-caval fistulas.

More Related Videos

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats06:50

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

Published on: August 15, 2025

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...