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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 1998 August;39(4):433-6

lingua: Inglese

The spon­ta­neous aor­toc­aval fis­tula: a com­pli­ca­tion of the abdom­inal ­aortic aneu­rysm. Case ­report and ­review of the lit­er­a­ture

Abbadi A. C., Deldime P., Van Espen D., Simon M.*, Rosoux Ph.**

From the Depart­ment of Sur­gery, * Depart­ment of ­Anaesthesia and ** Depart­ment of ­Radiology, Clinic ­Saint-­Joseph, ­Arlon, Bel­gium


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An aor­toc­aval fis­tula is a ­rare com­pli­ca­tion of the abdom­inal ­aortic aneu­rysm: ­early diag­nosis and appro­priate sur­gery ­improve sur­vival. We ­report the ­case of a ­patient pre­senting ­with abdom­inal ­pain and ­oedema of ­both ­lower ­limbs sec­on­dary to an aor­toc­aval fis­tula. CT-­scan con­firmed the diag­nosis and suc­cessful sur­gery was per­formed in the emer­gency ­room. Imme­diate hae­mos­tasis on the infe­rior ­vena ­cava is ­easier ­when pre­op­er­a­tive diag­nosis of the fis­tula has ­been ­made.

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