[Aorto-caval fistula due to rupture of abdominal aorto-iliac aneurysm--a case report of successful repair].
A 62-year-old man who had complained of swelling of bilateral lower extremities, exertional dyspnea and jaundice for 3 months was referred to our hospital with a diagnosis of large abdominal aneurysm and congestive heart failure. His aortography and Doppler echocardiography revealed that he had the aorto-caval fistula due to rupture of abdominal aorto-iliac aneurysm. He underwent a reconstruction of abdominal aorta with woven Dacron bifurcation graft together with a closure of fistula with 3 mattress sutures. The postoperative course was uneventful and he is free from any symptoms. Problems of diagnosis, operative management and results are discussed, reviewing the previously reported cases in Japan.
Sugimoto
T
T
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan.
Ogawa
K
K
Asada
T
T
Mukohara
N
N
Nishiwaki
M
M
Higami
T
T
Kawamura
T
T
D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications*; D001019:Aortic Rupture / Q000150:complications*; D001164:Arteriovenous Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014682:Vena Cava, Inferior / Q000601:surgery