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Technical Aspects of the Mouse Aortocaval Fistula
Published on: July 11, 2013
Bursting Heart Syndrome: A Rare Case Of Aortocaval Fistula Repair
Talha Kareem1, Muhammad Adeel Ahmed2, Faizan Nihal1
1Department of Vascular Surgery, Shifa International Hospital, Islamabad, Pakistan.
Abstract:
In this case report we will discuss the case of a 47-year-old woman who presented with abdominal pain, nausea, oliguria and right heart failure. A Computed Tomography (CT) aortogram revealed a fistulous abdominal aortic aneurysm. The objective of this study is to discuss the haemodynamic changes regarding aortocaval fistula and consider various management options. A literature search was undertaken on PubMed using appropriate search terms. Case series and reviews reporting presentation, diagnosis and operative management of aortocaval fistula were selected and discussed. We reached a conclusion that early identification improves surgical planning and reduces mortality. Major abdominal arteriovenous fistula repair appears to be a safer and more successful therapy with positive short and midterm outcomes. Aortocaval fistula care requires a more extensive patient series, so even better conclusions can be drawn.
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