Suzuki M, Collins G M, Bassinger G T, Dilley R B
Ann Surg. 1976 Jul;184(1):31-4. doi: 10.1097/00000658-197607000-00005.
A patient with an abdominal aortic aneurysm with a preaortic left renal vein fistula is presented. Review of the 7 reported cases of aorto-left renal vein fistulae demonstrates many similarities in the clinical presentation with aorto-caval fisulae. However, in addition to the triad of pain, pulsatile abdominal mass and bruit, commonly found in aorto-caval fistulae, the presence of hematuria, proteinuria, and azotemia suggests a renal vein fistula. Radiographic studies often demonstrate a large non-functional left kidney. Operative management of the fistula may be performed by a variety of maneuvers. All 7 patients survived. When repair was undertaken without delay, function in the left kidney returned to normal within two months postoperatively.
本文报道了一例腹主动脉瘤合并主动脉前左肾静脉瘘的患者。回顾已报道的7例主动脉-左肾静脉瘘病例发现，其临床表现与主动脉-腔静脉瘘有许多相似之处。然而，除了主动脉-腔静脉瘘常见的疼痛、搏动性腹部肿块和血管杂音三联征外，血尿、蛋白尿和氮质血症的出现提示存在肾静脉瘘。影像学检查常显示左肾无功能且体积增大。瘘管的手术治疗可通过多种操作进行。所有7例患者均存活。若及时进行修复，左肾功能在术后两个月内恢复正常。
