Fenster M S, Dent J M, Tribble C, Angle J F, Sarembock I J, Komada M, Ragosta M
Department of Medicine, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Cathet Cardiovasc Diagn. 1996 May;38(1):75-9. doi: 10.1002/(SICI)1097-0304(199605)38:1<75::AID-CCD17>3.0.CO;2-R.
Aortocaval fistula is a rare complication of abdominal aortic aneurysm involving less than 1% of all abdominal aortic aneurysms. The diagnosis is difficult, and preoperative identification can be challenging. We describe an interesting case of a 72-year-old man presenting with acute-onset dyspnea who was found to have an aortocaval fistula secondary to a large abdominal aortic aneurysm. The clinical features that exemplify aortocaval fistula are discussed and the literature reviewed.
主动脉腔静脉瘘是腹主动脉瘤的一种罕见并发症，在所有腹主动脉瘤中所占比例不到1%。诊断困难，术前识别具有挑战性。我们描述了一例有趣的病例，一名72岁男性因急性呼吸困难就诊，发现患有继发于巨大腹主动脉瘤的主动脉腔静脉瘘。文中讨论了体现主动脉腔静脉瘘的临床特征并回顾了相关文献。
