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Related Concept Videos

Anastomoses01:19

Anastomoses

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In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
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The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
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The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
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Related Experiment Video

Updated: Jun 13, 2025

Technical Aspects of the Mouse Aortocaval Fistula
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Aorto caval fistulas.

Lazar B Davidovic1,2, Igor B Koncar1,2, Aleksa L Jovanovic3

  • 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

International Angiology : a Journal of the International Union of Angiology
|September 9, 2024
PubMed
Summary
This summary is machine-generated.

Open repair of aorto-caval fistula (ACF) from ruptured abdominal aortic aneurysm (AAA) has high mortality. Endovascular repair may offer superior outcomes for this rare, life-threatening condition.

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Area of Science:

  • Vascular Surgery
  • Aortic Aneurysm Research
  • Surgical Outcomes Analysis

Background:

  • Aorto-caval fistula (ACF) from spontaneous abdominal aortic aneurysm (AAA) rupture is a rare and life-threatening condition.
  • Prompt diagnosis and treatment are critical for patient survival.

Purpose of the Study:

  • To assess the outcomes of open repair for ACF resulting from spontaneous AAA rupture.
  • To evaluate the efficacy and safety of open surgical intervention in a cohort of patients with ACF.

Main Methods:

  • Retrospective review of clinical records for 39 consecutive patients undergoing open repair for ACF due to AAA.
  • Data collection included patient demographics, surgical details, and follow-up assessments via examination or telephone.
  • Follow-up duration averaged 3.7 years, with a total of 67.1 person-years.

Main Results:

  • The 30-day mortality rate was 35.9% (14 deaths), including intraoperative and postoperative fatalities.
  • Of the 39 patients, 25 (64.1%) survived the initial surgery and postoperative period.
  • Long-term follow-up revealed a mortality rate of 3.0 per 100 person-years among survivors, with 16 patients surviving and 7 lost to follow-up.

Conclusions:

  • Open repair of ACF from AAA rupture is associated with significant perioperative mortality.
  • Preoperative diagnosis is crucial for guiding surgical strategy.
  • Endovascular repair should be considered as a potentially superior alternative to open repair when feasible.