Spontaneous aortocaval fistulae are an occasional, treatable cause of congestive cardiac failure that requires physician awareness to avoid diagnostic delay.
Two atypical patients with spontaneous aortocaval fistulae with a successful outcome, are presented. Lack of physician awareness is considered an important contributor to diagnostic delay. A finding at cardiac catheterization is described. Review of the English literature shows that satisfactory results in the management of this condition can now be expected.
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McDonald et al. (1982) studied this question.
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