Al-Naaman Y D, Wasfi S A, Safi H J, Munim N A
Zentralbl Chir. 1977;102(8):480-5.
A 33-year-old man sustained a thoracoabdominal bullet injury discovered on exploration to have tears in the liver and perforation in the stomach. Two months later admitted for bilateral serosanguinous pleural effusion, hypertension, heart failure and continuous murmur heard at the right hypochondrium. Aortogram showed aorto-caval fistula at the site of the injured right renal artery and a non-functioning right kidney. Successful external obliteration technique of the fistula had to be performed because of the heavy adhesions encountered, together with right sided nephrectomy. Two other alternative methods of treatment were suggested namely the application of profound hypothermia and circulatory arrest or the use of the aortic compressors and open fistulectomy.
一名33岁男性因胸腹枪伤接受探查，发现肝脏有撕裂伤，胃有穿孔。两个月后因双侧血性胸腔积液、高血压、心力衰竭入院，右季肋部可闻及连续性杂音。主动脉造影显示右肾动脉损伤部位存在主动脉腔静脉瘘，右肾无功能。由于粘连严重，必须进行瘘管的成功外部闭塞技术，并同时进行右侧肾切除术。还提出了另外两种替代治疗方法，即应用深度低温和循环停止，或使用主动脉压迫器和开放性瘘管切除术。
