Miani S, Giorgetti P L, Arpesani A, Giuffrida G F, Biasi G M, Ruberti U
Institute of General and Cardiovascular Surgery, University of Milan, Italy.
Eur J Vasc Surg. 1994 Jan;8(1):36-40. doi: 10.1016/s0950-821x(05)80117-3.
Thirty-six cases of abdominal aortic aneurysms rupturing into the vena cava and two iliac aneurysms rupturing into iliac veins are reported. This group represents 10% of the total number of observed ruptured abdominal aortic aneurysms (388). Such a condition is therefore quite rare but should be considered positively because the reported mortality rate is less than with ruptured aneurysms in general. Nevertheless, a spontaneous aorto-caval fistula is responsible for a critical haemodynamic deterioration and sudden worsening of the general condition of the patient and therefore prompt surgical repair is mandatory. The overall mortality rate in our series was 21% (8 cases).
本文报告了36例腹主动脉瘤破裂入腔静脉及2例髂动脉瘤破裂入髂静脉的病例。该组病例占观察到的破裂性腹主动脉瘤总数（388例）的10%。因此，这种情况相当罕见，但应积极考虑，因为报告的死亡率低于一般破裂性动脉瘤。然而，自发性主动脉腔静脉瘘会导致严重的血流动力学恶化和患者全身状况突然恶化，因此必须立即进行手术修复。我们系列病例的总死亡率为21%（8例）。
