Spontaneous Aortocaval Fistula^{, ,}

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• 作者：Darryl K Potyk ; Carol R Guthrie
• 刊名：Annals of Emergency Medicine
• 出版年：1995
• 出版时间：March 1995
• 年：1995
• 卷：25
• 期：3
• 页码：424-427
• 全文大小：786 K

文摘

Rupture of an abdominal aortic aneurysm into the inferior vena cava is uncommon. A classic syndrome of high-output heart failure, continuous abdominal bruit, and renal insufficiency has been described and permits a clinical diagnosis if an aortocaval fistula is considered in the differential diagnosis. Classic signs and symptoms can be misinterpreted and are present in less than 50 % of cases. Physicians should consider abdominal ultrasonography and aortography in stable patients, followed by prompt surgical intervention. We report the case of a patient with an aortocaval fistula.

[Potyk DK, Guthrie CR: Spontaneous aortocaval fistula. Ann Emerg Med March 1995;25:424-427.]