ENDOCAVAL SUTURE OF AORTOCAVAL FISTULA

A case of aortocaval fistula complicating a ruptured infrarenal aortic aneurysm is reported. As the length of the defect and the thickness o f the aortic wall made repair from within the aorta unsafe, the defect was repaired from within the vena cava. The details of the technique are reported. It can be a useful alternative to inferior vena cava lig ation, when standard repair of aortocaval fistulae from within the aor ta is risky or difficult to attempt.