title: Ruptured abdominal aortic aneurysm and aortoiliac vein fistula.
abstract: A 67-year-old man was admitted with severe abdominal pain and back pain. Computed tomography showed an infrarenal abdominal aortic aneurysm (8.4 × 8.3 cm) and a large retroperitoneal hematoma. Immediately afterwards, the patient suffered circulatory collapse and was rushed to the operating theater. A fistula communicating with the left iliac vein was found. It was repaired with a Dacron patch while balloon-tipped catheters controlled the bleeding. The abdominal aortic aneurysm was replaced with a bifurcated graft. The postoperative course was uneventful. There have been few reports of successful repair of a ruptured abdominal aortic aneurysm associated with aortoiliac arteriovenous fistula.
authors.affiliation: Department of Cardiovascular Surgery, JA Nagano Koseiren Shinonoi General Hospital, Nagano, Japan t.gyoten29@gmail.com.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Gyoten
authors.affiliation: Department of Cardiovascular Surgery, JA Nagano Koseiren Shinonoi General Hospital, Nagano, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Doi
authors.affiliation: First Department of Surgery, University of Toyama, Toyama, Japan.
authors.forename: Akio
authors.initials: A
authors.lastname: Yamashita
authors.affiliation: First Department of Surgery, University of Toyama, Toyama, Japan.
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Fukahara
authors.affiliation: Department of Cardiovascular Surgery, Bando Hospital, Toyama, Japan.
authors.forename: Keiju
authors.initials: K
authors.lastname: Kotoh
authors.affiliation: First Department of Surgery, University of Toyama, Toyama, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Yoshimura
mesh_terms: D000368:Aged; D017130:Angioplasty / Q000379:methods*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D011093:Polyethylene Terephthalates; D012187:Retroperitoneal Space / Q000098:blood supply; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates
keywords: Aortic aneurysm; abdominal; aortic rupture; arteriovenous fistula; blood vessel prosthesis implantation; iliac artery; venae cavae