Aorta-left renal vein fistula in a woman.
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.
Yagdi
Tahir
T
Department of Cardiovascular Surgery, Ege University Hospital, Izmir, Turkey. tyagdi@med.ege.edu.tr
Atay
Yuksel
Y
Engin
Cagatay
C
Ozbek
S Sureyya
SS
Buket
Suat
S
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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