Delayed Endovascular Aneurysm Repair for Aorto-caval Fistula with Correction of Physiologic and Metabolic Abnormalities: A Disease Process Review.

Reports regarding the management of ruptured abdominal aortic aneurysm with aorto-caval fistula (ACF) outline various treatment options and high mortality rates associated with this condition. This case illustrates a patient with a large ACF secondary to a prior rupture into the inferior vena cava with a delayed presentation. Because of preexisting conditions and severe metabolic sequelae of the ACF, palliative care was considered by the medical team. Minimally invasive endovascular techniques and prompt treatment resulted in a successful outcome with complete resolution of physiologic and metabolic abnormalities.