Surgical Repair of a 13-cm Infrarenal Abdominal Aortic Aneurysm with Aortocaval Fistula in a 63-Year-Old Tuba Player.
Tex Heart Inst J
; 46(1): 36-40, 2019 02.
Article
en En
| MEDLINE
| ID: mdl-30833836
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.
Palabras clave
Aneurysm, ruptured/diagnostic imaging/etiology/mortality/surgery/therapy; Valsalva maneuver/physiology; aortic aneurysm, abdominal/complications/diagnosis/surgery; arteriovenous fistula/diagnosis/etiology/surgery; endovascular procedures/adverse effects; time factors; treatment outcome; vascular surgical procedures; vena cava, inferior/surgery
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Aorta Abdominal
/
Vena Cava Inferior
/
Fístula Arteriovenosa
/
Aneurisma de la Aorta Abdominal
/
Implantación de Prótesis Vascular
/
Procedimientos Endovasculares
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Tex Heart Inst J
Año:
2019
Tipo del documento:
Article
Pais de publicación:
Estados Unidos