Document Detail

Angina pectoris as the initial manifestation of an aortocaval fistula.
MedLine Citation:
PMID:  3953627     Owner:  NLM     Status:  MEDLINE    
Spontaneous aortocaval fistula is an unusual disorder associated with abdominal aortic aneurysms and with the onset of high-output heart failure. A novel case of spontaneous aortocaval fistula formation that presented with angina is described. Increased myocardial oxygen demand due to elevated myocardial wall tension, inotropic state, and heart rate is the apparent contributing factor. Clinical evidence of ischemic heart disease and heart failure resolved with surgical correction of the shunt. Spontaneous aortocaval fistula formation can be a precipitating cause of new-onset angina.
J B Gordon; K D Newman; J D Marsh
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of medicine     Volume:  80     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1986 Mar 
Date Detail:
Created Date:  1986-04-14     Completed Date:  1986-04-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  514-6     Citation Subset:  AIM; IM    
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MeSH Terms
Angina Pectoris / diagnosis,  etiology*
Aorta, Abdominal
Aortic Aneurysm / complications*
Aortic Diseases / complications*,  diagnosis
Arteriovenous Fistula / complications*,  diagnosis
Middle Aged
Vena Cava, Inferior*
Grant Support

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