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Endovascular repair of a recurrent aortocaval fistula and anastamotic false aneurysm

Departments of ¹Radiology ²Vascular Surgery and ³Cardiology, Brighton and Sussex University Hospitals NHS Trust, The Royal Sussex County Hospital, Eastern Road, Brighton BN2 5BE, UK

Correspondence: S W Yusuf, Consultant Vascular Surgeon, The Royal Sussex County Hospital, Eastern Road, Brighton BN2 5BE, UK

Aortocaval fistula (ACF) and false aneurysm are a recognized complication of open abdominal aortic aneurysm (AAA) repair. Untreated they are often fatal. However, open surgical repair of this complication is associated with a high operative mortality and a significant complication rate. Endovascular management using a stent-graft to exclude the false aneurysm and fistula is a technically feasible alternative and confers many advantages over open repair by virtue of its minimally invasive nature. We report the endovascular management of this rare but serious complication of open AAA repair.