Karic Alen, Mujanovic Emir, Jerkic Zoran, Karic Amela, Tabakovic Mithat
Cardio-Vascular Clinic. University Clinical Centre Tuzla, Bosnia and Herzegovina.
Med Arh. 2011;65(3):176-7. doi: 10.5455/medarh.2011.65.176-177.
We present a case of 71 year old man operated in our clinic for ruptured abdominal aneurysm complicated with aorto-caval fistula, which was revealed during the surgery and successfully repaired by direct sutures within the aorta. This is the first record of the aorto-caval fistula that was so far noticed in our clinic. Urgent surgery and repair of the defect conneting aorta and vena cava by direct sutures within the aorta followed by ruptured aneurysm repair with tube graft is only way of treatment. Despite its infrequent occurrence, aorto-caval fistula should always be considered in any case of ruptured abdominal aneurysm.
我们报告一例71岁男性患者，在我院接受手术治疗，其腹主动脉瘤破裂并合并主动脉-腔静脉瘘，该瘘在手术中被发现，并通过主动脉内直接缝合成功修复。这是我院目前为止首次发现的主动脉-腔静脉瘘病例。紧急手术，通过主动脉内直接缝合修复连接主动脉和腔静脉的缺损，随后用人工血管移植修复破裂的动脉瘤，是唯一的治疗方法。尽管主动脉-腔静脉瘘很少见，但在任何腹主动脉瘤破裂的病例中都应始终予以考虑。
