Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock.
10.5090/kjtcs.2018.51.6.406
- Author:
In Ha KIM
1
;
Ho Ki MIN
;
Ji Yong KIM
;
Dong Kie KIM
;
Do Kyun KANG
;
Hee Jae JUN
;
Youn Ho HWANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Korea. minhoki@naver.com
- Publication Type:Case Report
- Keywords:
Abdominal aortic aneurysm;
Arteriovenous fistula;
Cardiogenic shock
- MeSH:
Abdominal Pain;
Aortic Aneurysm, Abdominal;
Arteriovenous Fistula;
Edema;
Fistula*;
Heart Arrest;
Heart Failure;
Humans;
Hypertension;
Oliguria;
Shock;
Shock, Cardiogenic*;
Thrombosis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2018;51(6):406-409
- CountryRepublic of Korea
- Language:English
-
Abstract:
Aortocaval fistula (ACF) occurs in < 1% of all abdominal aortic aneurysms (AAAs), and in 3% to 7% of all ruptured AAAs. The triad of clinical findings of AAA with ACF are abdominal pain, abdominal machinery bruit, and a pulsating abdominal mass. Other findings include pelvic venous hypertension (hematuria, oliguria, scrotal edema), lower-limb edema with or without arterial insufficiency or venous thrombus, shock, congestive heart failure, and cardiac arrest. Surgery is the main treatment modality. We report successful surgical treatment in a patient with a ruptured AAA with ACF who presented with cardiogenic shock.
