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CASE REPORTS VASCULAR PAPERS
The Journal of Cardiovascular Surgery 1998 August;39(4):433-6
Copyright © 2000 EDIZIONI MINERVA MEDICA
language: English
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
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.