Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases
Aortocaval fistula (ACF) is an unusual complication of ruptured abdominal aortic aneurysm (AAA), involving less than 3–6% of all ruptured cases. The clinical presentation is often obscure, depending on the coexistence of retroperitoneal rupture and hemodynamic instability. Prompt preoperative diagno...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2012/123081 |
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| author | Emmanouil D. Psathas Stella Lioudaki Mikes Doulaptsis Petros Charalampoudis Chris Klonaris Chris Verikokos |
| author_facet | Emmanouil D. Psathas Stella Lioudaki Mikes Doulaptsis Petros Charalampoudis Chris Klonaris Chris Verikokos |
| author_sort | Emmanouil D. Psathas |
| collection | DOAJ |
| description | Aortocaval fistula (ACF) is an unusual complication of ruptured abdominal aortic aneurysm (AAA), involving less than 3–6% of all ruptured cases. The clinical presentation is often obscure, depending on the coexistence of retroperitoneal rupture and hemodynamic instability. Prompt preoperative diagnosis is essential in order to plan the operative approach and improve patient’s outcome. We report the surgical treatment of two patients presented in the emergency department with ACF due to ruptured AAA, each with different clinical presentation, emphasizing the high index of suspicion needed by the clinician to early diagnose and treat this often lethal condition. Operative strategy and special considerations in the management of this subgroup of patients are also discussed. |
| format | Article |
| id | doaj-art-d53ab96312ca4c67aca8fbb6f90cbfc2 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-d53ab96312ca4c67aca8fbb6f90cbfc22025-02-03T06:11:08ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/123081123081Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two CasesEmmanouil D. Psathas0Stella Lioudaki1Mikes Doulaptsis2Petros Charalampoudis3Chris Klonaris4Chris Verikokos5Second Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceAortocaval fistula (ACF) is an unusual complication of ruptured abdominal aortic aneurysm (AAA), involving less than 3–6% of all ruptured cases. The clinical presentation is often obscure, depending on the coexistence of retroperitoneal rupture and hemodynamic instability. Prompt preoperative diagnosis is essential in order to plan the operative approach and improve patient’s outcome. We report the surgical treatment of two patients presented in the emergency department with ACF due to ruptured AAA, each with different clinical presentation, emphasizing the high index of suspicion needed by the clinician to early diagnose and treat this often lethal condition. Operative strategy and special considerations in the management of this subgroup of patients are also discussed.http://dx.doi.org/10.1155/2012/123081 |
| spellingShingle | Emmanouil D. Psathas Stella Lioudaki Mikes Doulaptsis Petros Charalampoudis Chris Klonaris Chris Verikokos Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases Case Reports in Surgery |
| title | Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases |
| title_full | Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases |
| title_fullStr | Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases |
| title_full_unstemmed | Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases |
| title_short | Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases |
| title_sort | clinical manifestations of aortocaval fistulas in ruptured abdominal aortic aneurysm report of two cases |
| url | http://dx.doi.org/10.1155/2012/123081 |
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