A NEW APPROACH FOR AORTOCAVAL FISTULA FROM RUPTURED ABDOMINAL AORTIC-ANEURYSM - BALLOON OCCLUSION TECHNIQUE UNDER ECHOGRAM GUIDANCE

Aortocaval fistula is a rare but well-recognized complication of abdom inal aortic aneurisms. However, it is difficult to make preoperative d iagnosis due to various clinical findings in a patient. Once the diagn osis is made surgical treatment is urgently required. Successful surgi cal therapy depends on control of bleeding from the fistula. We used t wo Forgaty balloon catheters inserted into the inferior vena cava unde r echogram guidance, thus restricting bleeding from the fistula. This new approach is safe and useful for intraoperative control of hemorrha ge from a ruptured abdominal aortic aneurysm.