Aortocaval fistula and contained rupture of an abdominal aortic aneurysm presenting with pelvic venous congestion.
This case report describes pelvic venous congestion without associated high-output cardiac failure as an unusual presentation of an aortocaval fistula as a complication of a contained rupture of an abdominal aortic aneurysm. Options for caval control and management of perioperative problems unique to this situation are discussed.
Saxon
S R
SR
Department of Cardiovascular and Thoracic Surgery, Geisinger Medical Center, Danville, Pennsylvania 17822.
Glover
W M
WM
Youkey
J R
JR
D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000209:etiology / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D010388:Pelvis; D012422:Rupture, Spontaneous; D014652:Vascular Diseases / Q000209:etiology / Q000601:surgery; D014682:Vena Cava, Inferior; D014690:Venous Pressure