Key result
Early diagnosis and surgery for AAA-related aortocaval fistula markedly improves high-output heart failure prognosis.
Why the study?
Aorto caval fistula is a less well recognised complication of abdominal aortic aneurysm presenting variably, often as high output congestive cardiac failure with warm peripheries, requiring early diagnosis and surgery to improve prognosis.
Aorto caval fistula is a rare but critical complication of abdominal aortic aneurysm that often presents as high-output heart failure and requires high clinical suspicion for early surgical intervention.
Supports early intervention in aorto-caval fistula; leaves open prospective validation before practice change.
Aorto caval fistula is one of the less well recognised complications of abdominal aortic aneurysm seen in accident and emergency departments. It presents in a number of different ways the commonest of which is high output congestive cardiac failure with warm peripheries. Initial diagnosis is based on the index of suspicion of the clinician. However, early diagnosis by the emergency physician and early surgery can markedly improve the patients prognosis.
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Simon Leigh-Smith (2000) conducted a review in Aorto caval fistula. Early diagnosis and surgery was evaluated. Early diagnosis and surgery for aorto caval fistula, a complication of abdominal aortic aneurysm presenting as high output congestive cardiac failure, can markedly improve patient prognosis.
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