Goto Tomoyuki, Enmoto Takeshi, Akimoto Kazumi
Department of Cardiovascular Surgery, Nantan General Hospital, Nantan, Kyoto, Japan.
Interact Cardiovasc Thorac Surg. 2009 Mar;8(3):387-9. doi: 10.1510/icvts.2008.198945. Epub 2008 Dec 12.
An 82-year-old man presented with typical signs and symptoms of an arteriovenous fistula (AVF) associated with an aortoiliac aneurysm, such as a pulsatile abdominal mass, continuous bruit, thrill, and high output heart failure. Multidetector row computed tomography (MDCT) confirmed the presence of an AVF between the right common iliac artery aneurysm and vein. We subjected the patient to surgical repair of the AVF combined with graft replacement, which proved successful.
一名82岁男性出现了与主髂动脉瘤相关的动静脉瘘（AVF）的典型症状和体征，如搏动性腹部肿块、连续性杂音、震颤和高输出量心力衰竭。多排螺旋计算机断层扫描（MDCT）证实右侧髂总动脉瘤与静脉之间存在动静脉瘘。我们对该患者进行了动静脉瘘手术修复并联合移植物置换，手术成功。
