A Successful Repair of a Giant Abdominal Aortic Aneurism

Penugonda, Lakshmi C; Saththasivam, Poovendran; Green, Michael S.

doi:10.5812/aapm.34847

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Fig 4 Postoperative Computed Tomographic Angiogram (Transve1

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2019

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“…We found no AAAs >13 cm associated with ACF. 14,21 Accordingly, our patient survived perhaps the largest unruptured infrarenal AAA with ACF to have been treated surgically.…”

Section: Fig 4 Postoperative Computed Tomographic Angiogram (Transvementioning

confidence: 86%

Surgical Repair of a 13-cm Infrarenal Abdominal Aortic Aneurysm with Aortocaval Fistula in a 63-Year-Old Tuba Player

Bitargil¹,

Bektaş²,

Ömeroğlu³

et al. 2019

Texas Heart Institute Journal

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Infrarenal abdominal aortic aneurysm with aortocaval fistula, a rare condition, can be fatal without prompt intervention. The clinical symptoms are complex and varied, so diagnosis is typically confirmed by use of contrast-enhanced multidetector computed tomography. We report our surgical repair of a 13-cm-diameter infrarenal abdominal aortic aneurysm and aortocaval fistula in a 63-year-old orchestral tuba player who had 2 classic symptoms of the condition. The unruptured aneurysm and fistula were complicated by acutely angled vessels, so we performed surgery rather than endovascular repair. The patient recovered fully and was discharged from the hospital. This infrarenal aneurysm with aortocaval fistula is perhaps the largest to have been treated successfully by means of open surgery. In addition to our patient's case, we discuss the history and treatment considerations of this rare combined condition.

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“…We found no AAAs >13 cm associated with ACF. 14,21 Accordingly, our patient survived perhaps the largest unruptured infrarenal AAA with ACF to have been treated surgically.…”

Section: Fig 4 Postoperative Computed Tomographic Angiogram (Transvementioning

confidence: 86%