# Successful Repair of a Ruptured Common Iliac Aneurysm with Associated Arteriovenous Fistula Using Aneurysm Wall

## TL;DR

A 58-year-old man with a ruptured artery aneurysm and a fistula was successfully treated using a patch from the aneurysm wall and a prosthetic graft.

## Contribution

A successful surgical approach using an aneurysm wall patch for repairing a fistula associated with a ruptured common iliac aneurysm.

## Key findings

- An aneurysm wall patch was successfully used to repair an arteriovenous fistula in a ruptured common iliac aneurysm.
- A bifurcated prosthetic graft was effectively used for abdominal aortic and iliac artery replacement.
- The patient's severe edema improved following the surgical intervention.

## Abstract

Ruptured abdominal aortic aneurysms and common iliac artery aneurysms (CIAAs) are rarely associated with an arteriovenous fistula (AVF). In such cases, surgery is frequently extremely difficult and the prognosis is usually poor. We report a case of a ruptured CIAA with a common iliac AVF in a 58-year-old male patient who presented with symptoms of severe edema in his left lower extremity. We used an aneurysm wall patch to repair the fistula and successfully reconstruct the common iliac vein, and a bifurcated prosthetic graft for abdominal aortic and iliac artery replacement.