Traumatic Aorto-caval Fistula

Machiedo, George W.; Jain, Krishna M.; Swan, Kenneth G.; Petrocelli, Joseph C.; Blackwood, James M.

doi:10.1097/00005373-198303000-00013

Cited by 28 publications

(7 citation statements)

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“…[1][2][3][4][5][6] This agrees with our own series, in which all events were due to atherosclerosis. Other causes include trauma, spine surgery or diagnostic interventions, [9][10][11][12] syphilis, infectious endocarditis, Marfan or Ehlers-Danlos syndrome, and Takayasu arteritis, while neoplasia has been reported as a rare cause. [13][14][15][16][17][18] On clinical examination, patients typically exhibit abdominal pain, pulsatile abdominal mass, bruit, and severe dyspnea.…”

Section: Discussionmentioning

confidence: 99%

Aortocaval Fistula Formation due to Ruptured Abdominal Aortic Aneurysms

Kotsikoris

Papas

Παπάνας

et al. 2012

Vasc Endovascular Surg

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This study reports on the frequency and management of aortocaval fistulas (ACFs) in our department between 1998 and 2009. Overall frequency of ACFs among ruptured abdominal aortic aneurysms was 5.5%. Patients presented with low back pain (92.8%), abdominal tenderness (78.6%), hemorrhagic shock (28.6%), congestive heart failure (21.4%), dyspnea (42.8%), and palpitations (57.1%). The most reliable clinical sign was the presence of palpable pulsating abdominal mass (92.8%). Other clinical findings included increased central venous pressure (21.4%), lower extremity edema (71.4%), hematuria (21.4%), and scrotal edema (14.3%). Diagnosis was established preoperatively in 85.7% and intraoperatively in 14.3% of cases. Surgery was successful in promptly improving clinical signs and symptoms. Mortality rate was 7.1%. After a mean follow-up of 18.5 months, all surviving patients remained free from complications. In conclusion, ACFs represent a life-threatening emergency for vascular surgeons but can be successfully managed.

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Section: Discussionmentioning

confidence: 99%

Aortocaval Fistula Formation due to Ruptured Abdominal Aortic Aneurysms

Kotsikoris

Papas

Παπάνας

et al. 2012

Vasc Endovascular Surg

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“…2 Besides atherosclerotic aneurysms, which represent the majority, other causes are syphilitic, mycotic aneurysms secondary to Marfan's syndrome, Ehlers-Danlos syndrome, Takayasu arteritis, 4-7 after surgery for herniated lumbar disc 8 and secondary to abdominal penetrating or, more rarely, blunt traumas. 9,10 Many series including a small number of cases report diagnostic difficulty. Communications between the aorta and vena cava account for most cases.…”

Section: Discussionmentioning

confidence: 99%

Aneurisma ilíaco associado a fístula arteriovenosa

Pinto

Júnior²,

Lopes

et al. 2007

J. vasc. bras.

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Rupture of aortoiliac aneurysms into the iliac vein or vena cava is an uncommon complication. Many signs and symptoms develop as a result of venous hypertension, which makes preoperative diagnosis difficult, such as leg edema, dyspnea, hematuria, signs of renal or cardiac insufficiency. Abdominal bruit, associated with pulsatile mass and abdominal pain, is the key for clinical diagnosis. Preoperative recognition of arteriovenous fistula is important for surgical planning. We report a case of right internal and common iliac artery aneurysm associated with fistula into the common iliac vein. Initial symptoms were right leg edema and dyspnea, which induced to the incorrect diagnosis of deep vein thrombosis.Keywords: Iliac aneurysm, arteriovenous fistula, ruptured aneurysm. RESUMOA ruptura dos aneurismas aorto-ilíacos para a veia ilíaca ou veia cava é uma complicação pouco comum. A hipertensão venosa leva a vários sinais e sintomas, o que dificulta o diagnóstico pré-operatório, tais como edema do membro inferior, dispnéia, hematúria, sinais de insuficiência renal ou cardíaca. Sopro abdominal é a chave do diagnóstico clínico, associado à massa pulsátil e dor abdominal. O reconhecimento da fístula arteriovenosa no pré-operatório é importante para o planejamento cirúrgico. Relatamos um caso de aneurisma da artéria ilíaca comum e interna direita associado a fístula para veia ilíaca comum, cursando, inicialmente, com edema do membro inferior direito e dispnéia, o que levou ao diagnóstico incorreto de trombose venosa profunda. Palavras-chave:Aneurisma ilíaco, fístula arteriovenosa, aneurisma roto.

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“…The second group is traumatic AC fistulas, mostly after penetrating injuries such as stab or gunshot abdominal wounds [5,9,15]. Very rarely AC fistulas are caused by blunt abdominal trauma [26].…”

Section: Discussionmentioning

confidence: 99%

“…Factors nfluencing the clinical manifestation of such lesions tnclude the origin, size, location of the fistula, as well a~patient age, pre-existent cardiopulmonary or renal dIsease. An arteriovenous fistula involving the abdominal aorta is an uncommon sequela of sponaneous adbominal aortic aneurysm (AAA) rupture into the adjacent venous system (1)(2)(3)(4)(5)(6)(7)(8), retroperi-t~neal injury of these major vessels [5,9,10], and dIagnostic or surgical procedures [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Aorto-Caval Fistulas

Davidović

Kostic

Cvetković

et al. 2002

Cardiovascular Surgery

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The surgical repair of 16 aorto-caval (A-C) fistulas (15 male and one female patient; average age of 61.3 years) is reviewed. Fourteen fistulas were caused by aneurysm's erosion, one by iatrogenic injury, while one followed abdominal blunt trauma. The interval from presumed occurrence to diagnosis ranged from 6 h to 2 years. The presence of an abdominal bruit (87.5%) was the most reliable physical finding. Congestive heart failure was prominent in three (18.7%) cases, while severe lower extremity edema in five (31.2%). Two patients (12.5%) had hematuria, two (12.5%) renal insufficiency, while four (25%) scrotal edema. The diagnosis was not recognized before the surgery in five (31.2%) cases. In all 16 cases after transaortic suture of the fistula, aortic reconstructions were performed. Four operative deaths (25%) occurred, in patients who were not correctly diagnosed before surgery. In one case the cause of death was massive bleeding, and in three MOFS. All other patients were followed from 1 to 17 years (mean 4 years and 2 months). All grafts are patent, and there is no lower extremity venous insufficiency or pelvic venous hypertension. Surgical repair of A-C fistulas is mandatory to prevent serious complications.

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Traumatic Aorto-caval Fistula

Cited by 28 publications

References 0 publications

Aortocaval Fistula Formation due to Ruptured Abdominal Aortic Aneurysms

Aortocaval Fistula Formation due to Ruptured Abdominal Aortic Aneurysms

Aneurisma ilíaco associado a fístula arteriovenosa

Aorto-Caval Fistulas

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