Central Venous Complications Associated with Ruptured Abdominal Aortic Aneurysm

Ruptured abdominal aortic aneurysms (rAAAs) represent a real surgical emergency. In the presence of abdominal pain, hypotensionor even shock, patients require emergency transfer to an operating room adequately equipped to treat the aneurysmeffectively and without delay. Occasionally, symptoms are the consequence of involvement of the adjacent structures, Aortocavalfistula and compression of the inferior vena cava (IVC) are venous complications associated with rAAAs. We report casesof aortocaval fistula and IVC compression with deep venous thrombosis (DVT) due to rAAA. The four patients underwentendovascular repair. The circumstances associated with the venous complications of rAAA, the treatment strategy used andthe therapeutic options are described.