Bacourt F, Touboul J, Hannoun L, Blery M, Terestchenko M C
J Chir (Paris). 1980 Sep;117(8-9):485-7.
The first reported case of a left iliac arteriovenous fistula from rupture of an aseptic atheromatous aneurysm is described. The fistula occurred proximally to a primary iliac vein thrombosis which explains the clinical picture observed of very severe "blue" phlebitis and the absence of any cardiac complications. The fistula was treated by the endo-aneurysmal approach and arterial continuity re-established with a prosthesis. The postoperative result was excellent.
本文描述了首例因无菌性动脉粥样硬化性动脉瘤破裂导致左髂动静脉瘘的病例。该瘘发生在原发性髂静脉血栓形成的近端,这解释了所观察到的严重“蓝色”静脉炎的临床表现以及无任何心脏并发症的原因。通过动脉瘤腔内入路治疗该瘘,并使用假体重建动脉连续性。术后效果极佳。