Aortocaval fistula mimicking an acute coronary syndrome

Carlo Vigna, Tiberio Santoro, Antonio Facciorusso, Giovanni Paroni, Raffaele Fanelli

Research output: Contribution to journalArticle

Abstract

A 75-year-old man complained of episodes of chest pain and dyspnea. An acute coronary syndrome was suspected but coronary angiography showed only mild stenosis (less than 50% reduction of vessel diameter) of the left anterior descending artery. We performed an aortography that showed a large infrarenal aneurysm with direct communication from the aorta to the inferior vena cava, forming an aortocaval fistula (ACF). The patient was immediately brought to the operating room where he underwent a successful surgical repair. The interesting aspect of our case is the clinical presentation mimicking an acute coronary syndrome with shock and bradyarrhythmias. The prompt diagnosis of ACF is very difficult because this rare pathology may present with several signs and symptoms. Surgery, or endovascular treatment in selected cases, is the only chance of survival.

Original languageEnglish
Pages (from-to)1138-1139
Number of pages2
JournalJournal of Cardiovascular Medicine
Volume9
Issue number11
DOIs
Publication statusPublished - Nov 2008

Fingerprint

Acute Coronary Syndrome
Fistula
Aortography
Inferior Vena Cava
Operating Rooms
Bradycardia
Coronary Angiography
Chest Pain
Dyspnea
Signs and Symptoms
Aneurysm
Aorta
Shock
Pathologic Constriction
Arteries
Communication
Pathology
Survival
Therapeutics

Keywords

  • Acute coronary syndrome
  • Aortocaval fistula

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Vigna, C., Santoro, T., Facciorusso, A., Paroni, G., & Fanelli, R. (2008). Aortocaval fistula mimicking an acute coronary syndrome. Journal of Cardiovascular Medicine, 9(11), 1138-1139. https://doi.org/10.2459/JCM.0b013e3283099e81

Aortocaval fistula mimicking an acute coronary syndrome. / Vigna, Carlo; Santoro, Tiberio; Facciorusso, Antonio; Paroni, Giovanni; Fanelli, Raffaele.

In: Journal of Cardiovascular Medicine, Vol. 9, No. 11, 11.2008, p. 1138-1139.

Research output: Contribution to journalArticle

Vigna, C, Santoro, T, Facciorusso, A, Paroni, G & Fanelli, R 2008, 'Aortocaval fistula mimicking an acute coronary syndrome', Journal of Cardiovascular Medicine, vol. 9, no. 11, pp. 1138-1139. https://doi.org/10.2459/JCM.0b013e3283099e81
Vigna, Carlo ; Santoro, Tiberio ; Facciorusso, Antonio ; Paroni, Giovanni ; Fanelli, Raffaele. / Aortocaval fistula mimicking an acute coronary syndrome. In: Journal of Cardiovascular Medicine. 2008 ; Vol. 9, No. 11. pp. 1138-1139.
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