J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1354KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 92(10): 1520-1523, 1991

Case report

AORTO-CAVAL FISTULA DUE TO RUPTURE OF ABDOMINAL AORTO-ILIAC ANEURYSM
―A CASE REPORT OF SUCCESSFUL REPAIR―

Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan

Takaki Sugimoto, Kyoichi Ogawa, Tatsuro Asada, Nobuhiko Mukohara, Masami Nishiwaki, Tetsuya Higami, Tsuyoshi Kawamura

A 62-year-old man who had complained of swelling of bilateral lower extremities, exertional dyspnea and jaundice for 3 months was referred to our hospital with a dignosis of large abdominal aneurysm and congestive heart failure. His aortography and Doppler echocardiography revealed that he had the aorto-caval fistula due to rupture of abdominal aorto-iliac aneurysm. He underwent a reconstruction of abdomial aorta with woven Dacron bifarcation graft together with a closure of fistula with 3 mattress sutures. The postoperative course was uneventful and he is free from any symptoms. Problems of diagnosis, operative management and results are discussed, reviewing the previously reported cases in Japan.

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