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Aortocaval Fistula Due to Abdominal Aortic Aneurysm Rupture

Department of Cardiovascular and Thoracic Surgery Sree Chitra Tirunal Institute of Medical Sciences and Technology Thiruvananthapuram, Kerala, India

For reprint information contact: Mohammed Akbar Bhat, MCh Tel: 91 194 42 7348 Fax: 91 194 42 3470 email: root{at}skims.ren.nic.in Department of Cardiovascular and Thoracic Surgery, Sheri Kashmir Institute of Medical Sciences, Post Bag No. 1061, GPO, Srinagar, Kashmir 190001, India.

Aortocaval fistula is a rare complication of rupture of an aortic aneurysm into the inferior vena cava. Prompt surgical repair is mandatory for salvage. Emergency surgery was performed in 2 cases of aortocaval fistula. The underlying etiology was polyarteritis nodosa in one patient and atherosclerosis in the other. Polyarteritis nodosa leading to abdominal aortic aneurysm with aortocaval fistula is reported for the first time.