Aorto-caval fistula resulting from rupture of an inflammatory abdominal aortic aneurysm.
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概要
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This is the first report of an aorto-caval fistula resulting from an inflammatory abdominal aortic aneurysm (IAAA) in Japan. A 78-year-old man was admitted to a local hospital with dyspnea and leg pains. Angiography revealed an aorto-caval fistula adjacent to the aortic bifurcation. He was transferred to our institute for surgical repair on the 19th day after the onset. On admission he was in shock due to "high output cardiac failure". His cardiac index was 6.20l/min/m2 and his systemic vascular resistance index was 606dyn·sec/cm5/m2. The IAAA was exposed at the operation. The fistula was closed by using the anterior wall of the aneurysm as a patch. The aneurysm was replaced with an aorto-iliac graft. Most aorto-caval fistulas result from rupture of an atherosclerotic abdominal aortic aneurysm. Only six cases of aorto-caval fistulas resulting from an IAAA have been reported. None of the patients had symptoms of cardiac failure. Ours is the first case of an aorto-caval fistula resulting from an IAAA with symptoms of cardiac failure.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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