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Aorto‐Caval Fistula: Successful Management of Two Cases
Author(s) -
Vellar I. D. A.,
Doyle J. C.
Publication year - 1972
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1969.tb06539.x
Subject(s) - medicine , oliguria , fistula , arteriovenous fistula , surgery , aneurysm , pulsatile flow , thrombosis , abdominal mass , vena cava , radiology , inferior vena cava , abdominal aortic aneurysm , cardiology , renal function
Two cases of aorto‐caval fistula resulting from spontaneous rupture of an aortic aneurysm into the inferior vena cava are described. Although both patients showed the classical signs of a pulsatile abdominal mass with a palpable thrill and a continuous murmur, and the site of the communication was the same in both cases, only the first showed obvious signs of a massive arteriovenous fistula, with a collapsing pulse and severe oliguria promptly cured by correction of the fistula. The second patient illustrates the ability of one elderly patient to survive a series of disasters in aneurysm surgery, namely frank rupture of the aneurysm, high output renal failure, caval thrombosis and intraperitoneal suppuration.