Janczak Dariusz, Chabowski Mariusz, Szydelko Tomasz, Garcarek Jerzy
Vascular. 2014 Jun;22(3):202-5. doi: 10.1177/1708538113478749.
A primary aortocaval fistula (ACF) is present in less than 1% of all abdominal aortic aneurysms (AAA). The case of a 62-year-old patient with a ruptured AAA and ACF was reported. A stent-graft was implanted into the abdominal aorta. An inferior vena cava filter was inserted to prevent pulmonary embolism. The patient made a smooth recovery. The follow-up computed tomographic scan three months later did not reveal any evidence of endoleaks or that the fistula was still present. Hemodynamic changes with regard to transient acute liver impairment were discovered (renal and liver parameters were presented). Endovascular exclusion appears to be an effective option in the treatment of an aortocaval fistula in comparison to conventional open repair.
原发性主动脉腔静脉瘘（ACF）在所有腹主动脉瘤（AAA）中所占比例不到1%。本文报道了一例62岁腹主动脉瘤破裂合并ACF的患者。在腹主动脉内植入了覆膜支架。插入下腔静脉滤器以预防肺栓塞。患者恢复顺利。三个月后的随访计算机断层扫描未发现内漏或瘘管仍然存在的任何证据。发现了与短暂性急性肝损伤相关的血流动力学变化（给出了肾脏和肝脏参数）。与传统的开放修复相比，血管内隔绝术似乎是治疗主动脉腔静脉瘘的有效选择。
