Multidetector row CT diagnosis of aortocaval fistula complicating aortic aneurysm: a case report.
Aortocaval fistula is a rare complication of abdominal aortic aneurysm involving less than 1% of all abdominal aortic aneurysms and causing severe hemodynamic derangements from a large left-to-right shunt; early diagnosis and repair results in improved morbidity and lower mortality but the diagnosis is difficult. We report a case of prompt diagnosis obtained with thoracoabdominal aortic multidetector row angio-CT as the first imaging procedure and allowing immediate surgical repair. Our report emphasizes the crucial role played by multidetector row CT as the first procedure in thoracoabdominal vascular emergencies.
Coulier
Bruno
B
Department of Diagnostic Radiology, Clinique St Luc, Rue St Luc 8, 5004 Bouge (Namur), Belgium. bcoulier@belgacom.net
Tilquin
Odile
O
Etienne
Pierre-Yves
PY
D000368:Aged; D001012:Aorta, Abdominal; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014682:Vena Cava, Inferior