title: Surgical Repair of Arteriovenous Fistula Associated with Iinfrarenal Aorto-iliac Aneurysm: Report of Two Contrasting Cases.
abstract: We present two cases of arteriovenous fistulas associated with aneurysms of the infrarenal aorta or common iliac artery. A definitive diagnosis is sometimes difficult given the varied and unclear presentation. However, with the correct preoperative diagnosis, mortality can be reduced. Both cases, being reported here, were diagnosed preoperatively and underwent alternate surgical repairs. One case was treated by aortic exclusion, whereas the second case was treated by primary closure of the fistula. Repair techniques were chosen based on acuity of presentation. Given our experience with these two cases, we conclude that direct closure is possible but dependent on the chronicity of the lesion.
authors.affiliation: Aomori City Hospital, Department of Cardiovascular Surgery, Aomori, Aomori, Japan.
authors.forename: Norihiro
authors.initials: N
authors.lastname: Kondo
authors.forename: Kenji
authors.initials: K
authors.lastname: Takahashi
authors.forename: Susumu
authors.initials: S
authors.lastname: Takeuchi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Ito
keywords: arteriovenous fistula; ruptured aorto-iliac aneurysm; surgical repair
references.citation: Eur J Vasc Endovasc Surg. 1999 Mar;17(3):191-6
references.pmid: 10092889
references.citation: Acta Chir Belg. 2005 Nov-Dec;105(6):616-20
references.pmid: 16438071
references.citation: J Vasc Surg. 2008 Jun;47(6):1203-1210; discussion 1210-1
references.pmid: 18514838
references.citation: Surg Today. 2001;31(9):842-4
references.pmid: 11686570
references.citation: J Vasc Surg. 1995 Nov;22(5):639-42
references.pmid: 7494369
references.citation: Surg Today. 1998;28(11):1213-6
references.pmid: 9851638
references.citation: Am J Surg. 1998 Aug;176(2):115-8
references.pmid: 9737613