Document Detail

Arteriovenous fistaul from rupture of abdominal aortic aneurysm.
MedLine Citation:
PMID:  1137489     Owner:  NLM     Status:  MEDLINE    
Two patients with spontaneous aortocaval fistulas are described and compared with 67 cases reported in the English literature. Symptoms may vary widely; however, the presence of an expansile abdominal mass with a continuous bruit is usually diagnostic. The only successful management is promt repair of the vena caval defect and the aortic aneurysm. A third patient with spontaneous rupture of an abdominal aortic aneurysm into the left renal vein is alos described. Only five similar cases could be found in the work literature. Left flank pain, pulsatile abdominal mass, continuous bruit, and hematuria is the usual clinical picture. All of these cases involved an anomalous left retroaortic renal vein and all patients survived the necessary surgical correction. The operation of choice is closure of the defect in the retroaortic left renal vein and repair of the aneurysm.
L L Mohr; L L Smith
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  110     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1975 Jul 
Date Detail:
Created Date:  1975-08-29     Completed Date:  1975-08-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  806-12     Citation Subset:  AIM; IM    
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MeSH Terms
Aorta, Abdominal*
Aortic Aneurysm / complications*,  surgery
Aortic Rupture / complications*
Arteriovenous Fistula / etiology*,  radiography,  surgery
Blood Pressure
Blood Vessel Prosthesis
Heart Arrest / etiology
Heart Failure / etiology
Iatrogenic Disease
Middle Aged
Postoperative Complications
Renal Veins*
Rupture, Spontaneous
Vena Cava, Inferior* / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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