Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases

Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases

Aortocaval fistula (ACF) is an unusual complication of ruptured abdominal aortic aneurysm (AAA), involving less than 3–6% of all ruptured cases. The clinical presentation is often obscure, depending on the coexistence of retroperitoneal rupture and hemodynamic instability. Prompt preoperative diagno...

Full description

Bibliographic Details
Main Authors: Emmanouil D. Psathas, Stella Lioudaki, Mikes Doulaptsis, Petros Charalampoudis, Chris Klonaris, Chris Verikokos
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/123081
id doaj-d53ab96312ca4c67aca8fbb6f90cbfc2
record_format Article
spelling doaj-d53ab96312ca4c67aca8fbb6f90cbfc22020-11-24T23:02:31ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/123081123081Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two CasesEmmanouil D. Psathas0Stella Lioudaki1Mikes Doulaptsis2Petros Charalampoudis3Chris Klonaris4Chris Verikokos5Second Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, GreeceAortocaval fistula (ACF) is an unusual complication of ruptured abdominal aortic aneurysm (AAA), involving less than 3–6% of all ruptured cases. The clinical presentation is often obscure, depending on the coexistence of retroperitoneal rupture and hemodynamic instability. Prompt preoperative diagnosis is essential in order to plan the operative approach and improve patient’s outcome. We report the surgical treatment of two patients presented in the emergency department with ACF due to ruptured AAA, each with different clinical presentation, emphasizing the high index of suspicion needed by the clinician to early diagnose and treat this often lethal condition. Operative strategy and special considerations in the management of this subgroup of patients are also discussed.http://dx.doi.org/10.1155/2012/123081
collection DOAJ
language English
format Article
sources DOAJ
author Emmanouil D. Psathas
Stella Lioudaki
Mikes Doulaptsis
Petros Charalampoudis
Chris Klonaris
Chris Verikokos
spellingShingle Emmanouil D. Psathas
Stella Lioudaki
Mikes Doulaptsis
Petros Charalampoudis
Chris Klonaris
Chris Verikokos
Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases
Case Reports in Surgery
author_facet Emmanouil D. Psathas
Stella Lioudaki
Mikes Doulaptsis
Petros Charalampoudis
Chris Klonaris
Chris Verikokos
author_sort Emmanouil D. Psathas
title Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases
title_short Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases
title_full Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases
title_fullStr Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases
title_full_unstemmed Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases
title_sort clinical manifestations of aortocaval fistulas in ruptured abdominal aortic aneurysm: report of two cases
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2012-01-01
description Aortocaval fistula (ACF) is an unusual complication of ruptured abdominal aortic aneurysm (AAA), involving less than 3–6% of all ruptured cases. The clinical presentation is often obscure, depending on the coexistence of retroperitoneal rupture and hemodynamic instability. Prompt preoperative diagnosis is essential in order to plan the operative approach and improve patient’s outcome. We report the surgical treatment of two patients presented in the emergency department with ACF due to ruptured AAA, each with different clinical presentation, emphasizing the high index of suspicion needed by the clinician to early diagnose and treat this often lethal condition. Operative strategy and special considerations in the management of this subgroup of patients are also discussed.
url http://dx.doi.org/10.1155/2012/123081
work_keys_str_mv AT emmanouildpsathas clinicalmanifestationsofaortocavalfistulasinrupturedabdominalaorticaneurysmreportoftwocases
AT stellalioudaki clinicalmanifestationsofaortocavalfistulasinrupturedabdominalaorticaneurysmreportoftwocases
AT mikesdoulaptsis clinicalmanifestationsofaortocavalfistulasinrupturedabdominalaorticaneurysmreportoftwocases
AT petroscharalampoudis clinicalmanifestationsofaortocavalfistulasinrupturedabdominalaorticaneurysmreportoftwocases
AT chrisklonaris clinicalmanifestationsofaortocavalfistulasinrupturedabdominalaorticaneurysmreportoftwocases
AT chrisverikokos clinicalmanifestationsofaortocavalfistulasinrupturedabdominalaorticaneurysmreportoftwocases
_version_ 1725636390913310720

Similar Items