A Case of Aortocaval Fistula as a Complication of Aortoiliac Aneurysm.
10.4326/jjcvs.24.56
- VernacularTitle:うっ血性心不全，下血，急性肝腎障害で発症した腹部大動脈下大静脈ろうの１治験例
- Author:
Hiroshi Ohuchi
;
Ikuo Fukuda
;
Katsutoshi Nakamura
;
Kanji Matsuzaki
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1995;24(1):56-58
- CountryJapan
- Language:Japanese
-
Abstract:
A 75-year-oldm an with an aortocaval fistula as a complication of aortoiliac aneurysm visited our hospital. He complained of shortness of breath and melena. Physical examination revealed a pulsating abdominal mass with thrill and continuous murmur. Chest X ray showed cardiomegaly with pulmonary congestion. CT scan showed infrarenal aortoiliac aneurysm and echo Doppler scan revealed aortocaval communication at the inferior caval bifurcation. Aortoiliac bifurcated graft and patch reconstruction of IVC were performed. The postoperative course was uneventful, and his congestive heart failure and hepatorenal dysfunction immediately improved.
