Endovascular Repair of Traumatic Mesocaval Fistula

A patient presented with a posttraumatic fistula between the superior mesenteric artery and inferior vena cava with associated pseudoaneurysm after multiple thoracoabdominal gunshot wounds. Endovascular management with placement of two overlapping stent-grafts resulted in complete resolution of the lesions with documented patency at 15 months and no known complications. This minimally invasive therapy spared the patient the morbidity of conventional open surgical repair.