title: Aorta-left renal vein fistula in a woman.
abstract: Spontaneous rupture of an abdominal aortic aneurysm into a retroaortic left renal vein is an uncommon occurrence. A 55-year-old woman presented with shortness of breath, vomiting, and diffuse abdominal pain that had radiated to her back and legs for the preceding 10 days. A pulsatile abdominal mass, hematuria, renal insufficiency, and heart failure were present at the initial evaluation. Computed tomography showed an infrarenal abdominal aortic aneurysm that communicated with a retroaortic left renal vein. After urgent surgical repair, cardiac and renal function were dramatically improved. To the best of our knowledge, this is the 1st reported case of a woman with such a fistula. We review treatments reported in the literature.
authors.affiliation: Department of Cardiovascular Surgery, Ege University Hospital, Izmir, Turkey. tyagdi@med.ege.edu.tr
authors.forename: Tahir
authors.initials: T
authors.lastname: Yagdi
authors.forename: Yuksel
authors.initials: Y
authors.lastname: Atay
authors.forename: Cagatay
authors.initials: C
authors.lastname: Engin
authors.forename: S Sureyya
authors.initials: SS
authors.lastname: Ozbek
authors.forename: Suat
authors.initials: S
authors.lastname: Buket
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography
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