Nakazawa Seshiru, Mohara Jun, Takahashi Toru, Koike Norimasa, Takeyoshi Izumi
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Ann Vasc Surg. 2014 Oct;28(7):1793.e5-9. doi: 10.1016/j.avsg.2014.03.015. Epub 2014 Mar 31.
Aortocaval fistula (ACF) is a well-known but uncommon complication of ruptured abdominal aortic aneurysm (AAA). Even with attentive care, oversight of ACFs may occur in emergency cases. Because mortality due to ACF is high, a rapid multidirectional analysis of the preoperative state leading to a correct diagnosis is essential. Here, we report the case of an 82-year-old man with a ruptured AAA and ACF. He presented with multiple organ failure that was initially attributed to congestive heart failure. He underwent emergent surgery and was diagnosed intraoperatively as having an AAA with ACF. He left the hospital 1 month after the operation without complications.
主动脉腔静脉瘘（ACF）是腹主动脉瘤（AAA）破裂的一种已知但不常见的并发症。即使给予精心护理，在紧急情况下也可能漏诊ACF。由于ACF导致的死亡率很高，因此对术前状态进行快速多方向分析以做出正确诊断至关重要。在此，我们报告一例82岁男性AAA破裂合并ACF的病例。他最初因充血性心力衰竭出现多器官功能衰竭。他接受了急诊手术，术中被诊断为AAA合并ACF。术后1个月他出院，无并发症。
