%0 Case Reports
%T Bursting Heart Syndrome: A Rare Case Of Aortocaval Fistula Repair.
%A Kareem T
%A Ahmed MA
%A Nihal F
%A Ehsan O
%A Khan I
%J J Pak Med Assoc
%V 73
%N 11
%D 2023 Nov
%M 38013543
%F 1.002
%R 10.47391/JPMA.8455
%X In this case report we will discuss the case of a 47-year-old woman who presented with abdominal pain, nausea, oliguria and right heart failure. A Computed Tomography (CT) aortogram revealed a fistulous abdominal aortic aneurysm. The objective of this study is to discuss the haemodynamic changes regarding aortocaval fistula and consider various management options. A literature search was undertaken on PubMed using appropriate search terms. Case series and reviews reporting presentation, diagnosis and operative management of aortocaval fistula were selected and discussed. We reached a conclusion that early identification improves surgical planning and reduces mortality. Major abdominal arteriovenous fistula repair appears to be a safer and more successful therapy with positive short and midterm outcomes. Aortocaval fistula care requires a more extensive patient series, so even better conclusions can be drawn.