Abstract
A 58 year old man was admitted with atrial fibrillation and lower limb swelling without abdominal pain. Computed tomography angiography (CTA) showed an isolated aortocaval fistula (ACF) secondary to abdominal aortic aneurysm (85 mm) rupture. The patient underwent urgent Gore C3 Excluder (W. L. Gore & Associates, Flagstaff, AZ, USA) endograft placement with immediate symptom resolution. Post-processing imaging software (Global Illumination Rendering v7.0; Vital Images, Canon Medical Systems, Paris, France; 2000 × 2000 pixels/300 dpi) allowed three dimensional reconstruction of aneurysm blood flow on pre-operative CTA (A), later identifying a small ACF fed by a type II endoleak (B), noted to have resolved on the two month surveillance CTA.Figure 1
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