Grand A, Cerquetta P, Martin B, Depommier A
Arch Mal Coeur Vaiss. 1984 Oct;77(10):1136-9.
The authors report a new case of spontaneous rupture of an infrarenal abdominal aortic aneurysm into the inferior vena cava operated with a good haemodynamic result. However, the patient died of multiple postoperative complications and an associated left bronchopulmonary carcinoma. The following features are emphasised: the contribution of complementary investigations to the diagnosis of this condition: abdominal ultrasonography, aortography and above all, especially in future years, of digitised angiography; the clinical importance of ischaemia of the descending colon and acute postoperative renal failure, the prevention of which should improve surgical results.
作者报告了一例肾下腹主动脉瘤自发性破裂入下腔静脉的新病例，手术取得了良好的血流动力学效果。然而，患者死于多种术后并发症及合并的左支气管肺癌。强调了以下几点：辅助检查对该病诊断的作用，包括腹部超声、主动脉造影，尤其是未来几年数字化血管造影的作用；降结肠缺血及术后急性肾衰竭的临床重要性，预防这些情况应能改善手术效果。
