Takkar Chandandeep, Choi Lorraine, Mastouri Nasim, Kadambi Pradeep V
Division of Nephrology and Hypertension, Department of Internal Medicine at UTMB, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA.
Case Rep Surg. 2012;2012:487079. doi: 10.1155/2012/487079. Epub 2012 Dec 30.
Spontaneous rupture of abdominal aortic aneurysm into the inferior vena cava is rare and is associated with high mortality and morbidity. The clinical presentation can be variable and thus the diagnosis can be difficult. It can present with symptoms and signs of an abdominal emergency, venous hypertension, or systemic hypoperfusion. The traditional method of repair has been open surgery which is associated with high rate of complications. We report a case of aortocaval fistula (ACF) presenting with acute renal failure and heart failure, which was treated successfully with a novel, endovascular approach.
腹主动脉瘤自发性破裂进入下腔静脉极为罕见，且与高死亡率和高发病率相关。临床表现可能多样，因此诊断可能困难。它可表现为腹部急症、静脉高压或全身低灌注的症状和体征。传统的修复方法是开放手术，其并发症发生率高。我们报告一例伴有急性肾衰竭和心力衰竭的主动脉腔静脉瘘（ACF）病例，该病例采用一种新型的血管内治疗方法成功治愈。
