Aortocaval fistula as a complication of leaking aortic aneurysm

Br J Surg. 1977 Apr;64(4):239-41. doi: 10.1002/bjs.1800640404.


The successful management of 2 patients is reported, each involving the closure of a fistula into the inferior vena cava as a sequel to the rupture of an atherosclerotic aortic aneurysm. It is an uncommon complication which should be suspected in the presence of an aortic aneurysm with a loud machinery bruit. Associated peripheral cyanosis and venous pulsation in the accessible proximal veins of the lower extremity and priapism afford strong supporting evidence.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm / complications*
  • Aortic Aneurysm / surgery
  • Aortic Diseases / etiology*
  • Aortic Diseases / surgery
  • Arteriovenous Fistula / etiology*
  • Arteriovenous Fistula / surgery
  • Humans
  • Male
  • Middle Aged
  • Vena Cava, Inferior / surgery*