Primary Arteriovenous Fistulas of the Abdomen

Duppler, David

doi:10.1001/archsurg.1985.01390310024004

Cited by 25 publications

(11 citation statements)

References 21 publications

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“…and mas - How ever. Duppler (7) and van Driel (26) sa w haernaturia in 27 % of th eir pati ent's a nd for Solo (24) it was a pr eop erative finding in all pati en ts.…”

Section: Discussionmentioning

confidence: 98%

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Aorto-Caval Fistula - an Uncommon Complication of Infrarenal Aortic Aneurysms

Schmidt¹,

Bruns²,

Walter³

et al. 1994

Thorac cardiovasc Surg

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Aorto-caval fistulas are an uncommon complication of infrarenal aortic aneurysms, being found in 0.22% to 6.04% of all cases. Operating on 1231 patients with abdominal aortic aneurysm in the last 30 years we saw 17 patients with an aortocaval fistula. While 5 patients showed an isolated fistula, 12 had an additional rupture of the aneurysm into the retroperitoneal space or the abdominal cavity. Only in four patients was the aorto-caval fistula diagnosed preoperatively. In 16 patients the fistula was closed from within the aorta. One patient needed ligation of the vena cava and the iliac veins. Mortality rate was 40% in the group with isolated fistula and 66.7% in the group with concomitant rupture. Aorto-caval fistula is a severe complication of abdominal aortic aneurysms, which may be fatal and demands early diagnosis and prompt treatment.

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“…and mas - How ever. Duppler (7) and van Driel (26) sa w haernaturia in 27 % of th eir pati ent's a nd for Solo (24) it was a pr eop erative finding in all pati en ts.…”

Section: Discussionmentioning

confidence: 98%

“…The most importa nt complication of infrarenal aortic aneurysms is rupture with haemorrh age into the retr operitoneal space or the abdominal cavity. Ruptur e into the duodenum or the venous system such as the iliac vein (7), the renal vein, or the infrarenal vena cava is uncommon and rar ely diagnosed before surgery.…”

Section: Introductionmentioning

confidence: 99%

Aorto-Caval Fistula - an Uncommon Complication of Infrarenal Aortic Aneurysms

Schmidt¹,

Bruns²,

Walter³

et al. 1994

Thorac cardiovasc Surg

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“…ACF secondary to aneurysmal disease of the aorta is a rare clinical entity that may lead to severe hemodynamic disturbances [1,2]. The increased preload results in hyperdynamic circulation that may lead to intractable cardiac failure.…”

Section: Discussionmentioning

confidence: 99%

“…These aneurysms gradually expand and, if left untreated, will eventually rupture causing circulatory collapse. Rupture into the inferior vena cava (IVC) creating a communication represents a rare complication [1]. We report on a patient with coronary heart disease who developed bilateral leg oedema and worsening exertional dyspnea due to an aortocaval fistula (ACF).…”

Section: Introductionmentioning

confidence: 99%

Leg oedema and exertional dyspnea due to aortocaval fistula complicating an abdominal aortic aneurysm

Karanikis

Korantzopoulos

Theodorou

et al. 2004

International Journal of Cardiology

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“…There may be increased venous hypertension with edema of the buttocks and lower extremities, hematuria, and rectal bleeding.6 Manifestations of heart failure, such as dyspnea, cardiomegaly, and edema, are present in two thirds of the cases. [5][6][7] Renal impairment may occur in patients with aortocaval fistula. Renal failure is caused in part by the high venous pressure and decreased mean arterial pressure.…”

Section: Discussionmentioning

confidence: 99%