Morrow C, Lewinstein C, Ben-Menachem Y
Department of Surgery, Baylor College of Medicine, Houston, TX.
J Vasc Surg. 1987 Nov;6(5):524-7.
The formation of an iliac arteriovenous fistula caused by rupture of an atherosclerotic iliac artery aneurysm is unusual. We describe a case and review the previously reported 18 cases of spontaneous iliac arteriovenous fistula. The presence of a palpable abdominal mass associated with a thrill or bruit and unilateral leg symptoms of venous engorgement or arterial insufficiency, with or without acute onset of congestive heart failure, should result in a high index of suspicion of this entity. Prompt recognition and surgical closure of the iliac fistula are most important in successful management.
由动脉粥样硬化性髂动脉瘤破裂引起的髂动静脉瘘形成较为罕见。我们描述了一例病例，并回顾了先前报道的18例自发性髂动静脉瘘病例。出现可触及的腹部肿块并伴有震颤或血管杂音，以及单侧腿部出现静脉充血或动脉供血不足的症状，无论有无充血性心力衰竭急性发作，都应高度怀疑此病。及时识别并手术闭合髂动静脉瘘对成功治疗最为重要。
