Karanikis Pavlos, Korantzopoulos Panagiotis, Theodorou Anthi, Tsimoyiannis John, Siogas Konstantinos
Int J Cardiol. 2004 Apr;94(2-3):335-7. doi: 10.1016/j.ijcard.2003.04.036.
Aortocaval fistula (ACF) represents a rare complication of abdominal aortic aneurysm (AAA) that may lead to hyperdynamic heart failure. We briefly describe a 58-year-old man with an old myocardial infarction, who developed leg oedema and worsening exertional dyspnea due to ACF complicating an AAA. This uncommon case highlights that an appropriate investigation for AAA and ACF should be performed in high-risk patients presenting with a history of worsening leg oedema and dyspnea in the absence of an obvious precipitating factor.
主动脉腔静脉瘘（ACF）是腹主动脉瘤（AAA）的一种罕见并发症，可能导致高动力性心力衰竭。我们简要描述一名58岁有陈旧性心肌梗死病史的男性，他因ACF并发AAA而出现腿部水肿和劳力性呼吸困难加重。这个不常见的病例强调，对于有腿部水肿和呼吸困难加重病史且无明显诱发因素的高危患者，应进行针对AAA和ACF的适当检查。
