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A Journal on Surgery

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Chirurgia 1999 April;12(2):143-6

language: Italian

Ruptured abdominal aortic aneurysm in the inferior vena cava

Buongarzone M. S., Massi M., Morlupi P., Moretti R., Montironi C., Micozzi I., Bartomioli M., Oncini L., Appignanesi P.


The authors report a case of ruptured abdominal aortic aneurysm in the inferior vena cava successfully treated using direct suture of the fistulous passage from inside the aneurysm and reconstruction of aortic continuity using an aorto-aortic graft at the aortic bifurcation using a dacron prosthesis. The symptoms at onset were those of classic rupture of the aneurysm with shock and pain. Nothing led the authors to suppose that such a rare event had occurred, except for an early opacification of inferior vena cava on the CAT image. Symptoms deriving from the increased venous reflux and increased venous pressure could not be verified because of the instant onset of the aorto-caval fistula. The repair of the fistula and aneurysmectomy did not create any particular postoperative problems for the patient who was discharged on day eight.

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