Korean J Thorac Cardiovasc Surg.  2002 Aug;35(8):599-604.

Type A Aortic Dissection with Aortocaval Fistula: Report of 1 case

• Kim HS
• Yang SI
• Chung SW
• Kim JW
• Lee HR

Abstract

Acute or chronic aortic dissection may lead to the rupture, which is the major cause of death. A dissecting aneurysm of ascending aorta(Stanford type A dissection) can rupture into the superior vena cava producing a aortocaval fistula, which is rare, but has been reported mostly in the cases of abdominal aortic aneurysm. We report a case of 67-year-old man with type A chronic dissection and aortocaval fistula, presenting symptoms of superior vena syndrome. The preoperative diagnosis was composed of radiologic examinations, including computed tomography, magnetic resonance imaging angiography and aortography. The dissecting aneurysm was resected and replaced, and the aortocaval fistula was repaired under deep hypothermic circulatory arrest. The details are described here.

Keyword

Aneurysm, dissecting; Aortic bistula; Aortic aneurysm, ascending

MeSH Terms

Aged
Aneurysm, Dissecting
Angiography
Aortic Aneurysm, Abdominal
Aortography
Cause of Death
Circulatory Arrest, Deep Hypothermia Induced
Diagnosis
Fistula*
Humans
Magnetic Resonance Imaging
Rupture
Vena Cava, Superior