SummaryRuptured abdominal aortic aneurysm (rAAA) with an arterio-venous fistula is a rare phenomenon. We report a case where the coincidence of significant coronary stenosis was masking the main problem of an infra-renal aortic aneurysm rupture.Key words: ruptured abdominal aortic aneurysm; aortocaval fistula; acute coronary syndrome; left-sided ivc
Case reportA 60-year-old man arrived in the emergency room with palpitations, left mandibular pain and presyncope. Some months previously he was diagnosed with chronic lymphatic leukaemia, but otherwise the patient was in good health without any regular medication. He is a smoker (50 pack years) with a family history of coronary heart disease. On arrival the patient presented with a heart rate of 135 bpm and in respiratory distress
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