Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock

Aortocaval fistula (ACF) occurs in <1% of all abdominal aortic aneurysms (AAAs), and in 3% to 7% of all ruptured AAAs. The triad of clinical findings of AAA with ACF are abdominal pain, abdominal machinery bruit, and a pulsating abdominal mass. Other findings include pelvic venous hypertension (hema...

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Main Authors: In Ha Kim, Ho-Ki Min, Ji Yong Kim, Dong-Kie Kim, Do Kyun Kang, Hee Jae Jun, Youn-Ho Hwang
Format: Article
Language:English
Published: Korean Society for Thoracic and Cardiovascular Surgery 2018-12-01
Series:Korean Journal of Thoracic and Cardiovascular Surgery
Subjects:
Online Access:https://doi.org/10.5090/kjtcs.2018.51.6.406
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author In Ha Kim
Ho-Ki Min
Ji Yong Kim
Dong-Kie Kim
Do Kyun Kang
Hee Jae Jun
Youn-Ho Hwang
author_facet In Ha Kim
Ho-Ki Min
Ji Yong Kim
Dong-Kie Kim
Do Kyun Kang
Hee Jae Jun
Youn-Ho Hwang
author_sort In Ha Kim
collection DOAJ
description Aortocaval fistula (ACF) occurs in <1% of all abdominal aortic aneurysms (AAAs), and in 3% to 7% of all ruptured AAAs. The triad of clinical findings of AAA with ACF are abdominal pain, abdominal machinery bruit, and a pulsating abdominal mass. Other findings include pelvic venous hypertension (hematuria, oliguria, scrotal edema), lower-limb edema with or without arterial insufficiency or venous thrombus, shock, congestive heart failure, and cardiac arrest. Surgery is the main treatment modality. We report successful surgical treatment in a patient with a ruptured AAA with ACF who presented with cardiogenic shock.
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spelling doaj.art-9dd2dabac6dd4d0b9fe462402f32865a2022-12-21T19:35:27ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2018-12-0151640640910.5090/kjtcs.2018.51.6.406kjtcs.2018.51.6.406Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic ShockIn Ha Kim0Ho-Ki Min1Ji Yong Kim2Dong-Kie Kim3Do Kyun Kang4Hee Jae Jun5Youn-Ho Hwang6Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of MedicineDivision of Cardiology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of MedicineAortocaval fistula (ACF) occurs in <1% of all abdominal aortic aneurysms (AAAs), and in 3% to 7% of all ruptured AAAs. The triad of clinical findings of AAA with ACF are abdominal pain, abdominal machinery bruit, and a pulsating abdominal mass. Other findings include pelvic venous hypertension (hematuria, oliguria, scrotal edema), lower-limb edema with or without arterial insufficiency or venous thrombus, shock, congestive heart failure, and cardiac arrest. Surgery is the main treatment modality. We report successful surgical treatment in a patient with a ruptured AAA with ACF who presented with cardiogenic shock.https://doi.org/10.5090/kjtcs.2018.51.6.406Abdominal aortic aneurysmArteriovenous fistulaCardiogenic shock
spellingShingle In Ha Kim
Ho-Ki Min
Ji Yong Kim
Dong-Kie Kim
Do Kyun Kang
Hee Jae Jun
Youn-Ho Hwang
Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock
Korean Journal of Thoracic and Cardiovascular Surgery
Abdominal aortic aneurysm
Arteriovenous fistula
Cardiogenic shock
title Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock
title_full Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock
title_fullStr Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock
title_full_unstemmed Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock
title_short Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock
title_sort surgical repair of aortocaval fistula presenting with cardiogenic shock
topic Abdominal aortic aneurysm
Arteriovenous fistula
Cardiogenic shock
url https://doi.org/10.5090/kjtcs.2018.51.6.406
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AT dongkiekim surgicalrepairofaortocavalfistulapresentingwithcardiogenicshock
AT dokyunkang surgicalrepairofaortocavalfistulapresentingwithcardiogenicshock
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