Endovascular repair of delayed traumatic aortocaval fistula

J Vasc Surg Cases Innov Tech. 2019 Nov 13;5(4):467-471. doi: 10.1016/j.jvscit.2019.06.012. eCollection 2019 Dec.


Aortocaval fistula (ACF) is an uncommon condition that can result in a number of adverse clinical sequelae. We describe a case of an ACF that occurred several years after open repair of a penetrating injury of the abdominal aorta and inferior vena cava. Whereas ACF can have sudden and catastrophic presentations, our patient had a subacute presentation of high-output heart failure. We were able to fully correct the vascular injury and heart failure physiology and symptoms with endovascular therapy.

Keywords: ACF; Aortocaval fistula; Endovascular repair; Gunshot wound; High-output heart failure.

Publication types

  • Case Reports