Vohra R, Carrim A, Groome J, Leiberman D P
Department of Vascular Surgery, Glasgow Royal Infirmary, UK.
J R Coll Surg Edinb. 1991 Jun;36(3):161-3.
Eight cases of aortocaval fistula are described. In all of them operation was performed with repair of the fistula and replacement of the aneurysm by a prosthetic graft. In seven cases the cause was rupture of an atherosclerotic aneurysm but one case followed rupture of a re-entrant dissecting aortic aneurysm. A fistula is most easily recognized by the sensation of a palpable thrill over the aorta during operation together with systemic venous congestion and a high central venous pressure before aortic clamps are applied. Diagnosis of the fistula before surgery or its recognition during operation and before opening the aorta usually leads to a successful outcome.
本文描述了8例主动脉腔静脉瘘病例。所有病例均进行了手术，修复瘘管并用人造血管置换动脉瘤。7例病因是动脉粥样硬化性动脉瘤破裂，但1例是复发性主动脉夹层动脉瘤破裂所致。在手术过程中，在主动脉上可触及震颤感，同时伴有全身静脉淤血和在应用主动脉夹之前中心静脉压升高，此时最容易识别瘘管。在手术前诊断瘘管或在手术过程中且在打开主动脉之前识别瘘管，通常会取得成功的结果。
