Document Detail


Surgical repair of a concealed aortocaval fistula associated with an abdominal aortic aneurysm: report of two cases.
MedLine Citation:
PMID:  11686570     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two cases of a concealed aortocaval fistula (ACF) associated with an abdominal aortic aneurysm (AAA) are presented herein. ACF is a rare complication of AAA and only a few cases have so far shown the triad of symptoms, including congestive heart failure, a continuous abdominal bruit, and a pulsating abdominal mass. Sometimes a definite diagnosis is not made preoperatively and as a result, massive bleeding is encountered. We believe that the presence of a large aneurysm, compression, and involvement of the inferior vena by an aneurysm, and pelvic venous dilatation on abdominal computed tomography and hematuria may additionally suggest the presence of a concealed ACF. A correct preoperative diagnosis will help greatly in selecting the optimal surgical modality and should also reduce the degree of bleeding.
Authors:
A Takazawa; H Sakahashi; A Toyama
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  31     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2001  
Date Detail:
Created Date:  2001-10-31     Completed Date:  2002-01-24     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  842-4     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Ageo Central General Hospital, Saitama, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Ruptured / complications*,  radiography,  surgery
Aortic Aneurysm, Abdominal / complications*,  radiography,  surgery
Aortic Diseases / complications*,  surgery*
Arteriovenous Fistula / complications*,  surgery*
Blood Vessel Prosthesis Implantation
Humans
Male
Tomography, X-Ray Computed
Vena Cava, Inferior*

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