Du Toit D F, Van der Merwe D M, Groenewald J H, De Roubaix J A
S Afr Med J. 1983 Feb 19;63(8):293-4.
Rupture of an aneurysm into a major vein is an uncommon complication, and the resulting arteriovenous fistula frequently causes high-output cardiac failure as a presenting symptom. A patient with high-output cardiac failure refractory to conservative treatment and an aortic and left iliac artery aneurysm and associated arteriovenous fistula between the left common iliac artery and vein is presented. The fistula was confirmed by transfemoral arteriography. Successful resection of the aneurysm and closure of the fistula resulted in dramatic clinical improvement. Careful monitoring of cardiovascular function with a Swan-Ganz catheter, before, during and after operation contributed to a satisfactory result.
动脉瘤破裂进入大静脉是一种罕见的并发症，由此产生的动静脉瘘常导致高输出量心力衰竭作为首发症状。本文介绍了一名高输出量心力衰竭患者，其对保守治疗无效，患有主动脉和左髂动脉瘤以及左髂总动脉与静脉之间的相关动静脉瘘。经股动脉造影证实了瘘的存在。成功切除动脉瘤并闭合瘘导致临床症状显著改善。手术前、手术中和手术后使用 Swan-Ganz 导管仔细监测心血管功能有助于取得满意的结果。
