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Ann Vasc Surg. 2014 Oct;28(7):1793.e5-9. doi: 10.1016/j.avsg.2014.03.015. Epub 2014 Mar 31.

Aortocaval fistula associated with ruptured abdominal aortic aneurysm.

Author information

1
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan. Electronic address: seshiru.nakazawa@gmail.com.
2
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.

Abstract

Aortocaval fistula (ACF) is a well-known but uncommon complication of ruptured abdominal aortic aneurysm (AAA). Even with attentive care, oversight of ACFs may occur in emergency cases. Because mortality due to ACF is high, a rapid multidirectional analysis of the preoperative state leading to a correct diagnosis is essential. Here, we report the case of an 82-year-old man with a ruptured AAA and ACF. He presented with multiple organ failure that was initially attributed to congestive heart failure. He underwent emergent surgery and was diagnosed intraoperatively as having an AAA with ACF. He left the hospital 1 month after the operation without complications.

PMID:
24698772
DOI:
10.1016/j.avsg.2014.03.015
[Indexed for MEDLINE]

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