Aortovenous Fistulas Due to Ruptured Infrarenal Aortic Aneurysms
| Autor: | Atef A. Salam, Smith Rb rd, Perdue Gd, Gourdin Fw |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Male
medicine.medical_specialty Aortic Rupture Fistula Asymptomatic Aneurysm medicine.artery medicine Humans Aorta Abdominal cardiovascular diseases Vein Aged Aorta business.industry General Medicine Perioperative Middle Aged University hospital medicine.disease Surgery Radiography medicine.anatomical_structure Concomitant Arteriovenous Fistula cardiovascular system Female medicine.symptom business |
| Zdroj: | Southern Medical Journal. 75:913-916 |
| ISSN: | 0038-4348 |
| DOI: | 10.1097/00007611-198208000-00003 |
| Popis: | A review of patients undergoing aortic aneurysmectomy between 1970 and 1979 at the Emory University Hospital and the Atlanta Veterans Administration Medical Center disclosed six patients with aortovenous fistulas. Four fistulas were aorta to vena cava; one, aorta to left renal vein; and one, aorta to left iliac vein. Four of the arteriovenous fistulas were identified preoperatively. In another patient the symptoms and signs were masked by concomitant retroperitoneal rupture of the aneurysm. The final patient was asymptomatic preoperatively, but had an occluded fistula discovered at operation when laminated thrombus was removed from the wall of the aneurysm. One patient died while being prepared for operation; five were operated upon and survived. Successful management of this problem is contingent upon preoperative recognition, careful manipulation of the aneurysm with endoaneurysmal closure of the fistula, and judicious perioperative fluid management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|