Surgical repair of a concealed aortocaval fistula associated with an abdominal aortic aneurysm: report of two cases.

Abstract:

: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.

journal_name

Surg Today

journal_title

Surgery today

authors

Takazawa A,Sakahashi H,Toyama A

doi

10.1007/s005950170062

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

842-4

issue

9

eissn

0941-1291

issn

1436-2813

pii

10.1007/s005950170062

journal_volume

31

pub_type

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