Type A Aortic Dissection with Aortocaval Fistula: Report of 1 case.
- Author:
Heung Soo KIM
1
;
Seung In YANG
;
Sung Woon CHUNG
;
Jong Won KIM
;
Hyung Ryul LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Pusan National niversity, Korea. kimchart@hanmail.net
- Publication Type:Case Report
- Keywords:
Aneurysm, dissecting;
Aortic bistula;
Aortic aneurysm, ascending
- MeSH:
Aged;
Aneurysm, Dissecting;
Angiography;
Aortic Aneurysm, Abdominal;
Aortography;
Cause of Death;
Circulatory Arrest, Deep Hypothermia Induced;
Diagnosis;
Fistula*;
Humans;
Magnetic Resonance Imaging;
Rupture;
Vena Cava, Superior
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(8):599-604
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute or chronic aortic dissection may lead to the rupture, which is the major cause of death. A dissecting aneurysm of ascending aorta(Stanford type A dissection) can rupture into the superior vena cava producing a aortocaval fistula, which is rare, but has been reported mostly in the cases of abdominal aortic aneurysm. We report a case of 67-year-old man with type A chronic dissection and aortocaval fistula, presenting symptoms of superior vena syndrome. The preoperative diagnosis was composed of radiologic examinations, including computed tomography, magnetic resonance imaging angiography and aortography. The dissecting aneurysm was resected and replaced, and the aortocaval fistula was repaired under deep hypothermic circulatory arrest. The details are described here.
