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Related Experiment Videos

Traumatic aorto-caval fistula.

G W Machiedo, K M Jain, K G Swan

    The Journal of Trauma
    |March 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Traumatic aorto-caval fistulas are rare but can be repaired later. Delayed repair is a viable option for select patients, particularly young, healthy individuals with smaller fistulae.

    Area of Science:

    • Vascular Surgery
    • Trauma Surgery

    Background:

    • Trauma can uncommonly lead to aorto-caval fistula formation.
    • Aorto-caval fistulas involve abnormal connections between the aorta and inferior vena cava.

    Observation:

    • This study reviews two cases of traumatic aorto-caval fistula treated at affiliated hospitals.
    • A literature review identified 14 previously reported cases of traumatic aorto-caval fistula.

    Findings:

    • Delayed repair was performed in 86% of reviewed cases, with delays ranging from 5 days to 12 years post-injury.
    • Cardiac decompensation, indicated clinically or by cardiomegaly on chest X-ray, was present in 75% of patients undergoing delayed repair.

    Implications:

    • Techniques for repair and criteria for delayed repair are discussed.

    Related Experiment Videos

  • Delayed repair is concluded to be a suitable option for young, healthy patients, especially those with smaller fistulae.