Loos Maarten J A, Scheer Marian, van der Vliet Jordanus A, Warlé Michiel C
Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.
Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
Ann Vasc Surg. 2015 Feb;29(2):363.e5-7. doi: 10.1016/j.avsg.2014.08.029. Epub 2014 Nov 22.
Aortocaval fistula due to aneurysmal degradation can result in obscure clinical signs but with life-threatening sequelae. Our patient presented with multiple cardiac arrests because of sudden right heart decompensation after a ruptured iliac aneurysm into the adjacent iliac vein. He fully recovered after emergency open surgical repair. High awareness with subtle clinical signs is of great importance.
动脉瘤退变导致的主动脉腔静脉瘘可导致隐匿的临床体征，但会有危及生命的后果。我们的患者因髂动脉瘤破裂进入相邻的髂静脉后突然出现右心功能不全，出现多次心脏骤停。经紧急开放手术修复后，他完全康复。对细微临床体征保持高度警惕非常重要。
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