Key result
Prompt surgical repair and dacron graft insertion successfully treated two cases of aortocaval fistula, though one case was complicated by acute renal failure that improved with medical treatment.
Case Report (n=2)
Prompt surgical repair with dacron graft insertion can successfully treat aortocaval fistula associated with abdominal aortic aneurysm.
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Provides anecdotal support for open repair in aortocaval fistula; leaves open need for larger studies on outcomes and alternatives.
Two cases of aortocaval fistula were treated successfully with prompt surgical repair and dacron graft insertion in place of the abdominal aortic aneurysm. The first case presented here displayed signs and symptoms characteristic of aortocaval fistula, the second case displayed signs and symptoms characteristic of a ruptured abdominal aortic aneurysm. The lack of symptoms of arteriovenous fistula in the second case was due to occlusion of the fistula by laminated clots. The post-operative course of the second case was complicated by an acute renal failure which improved after medical treatment.
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Taheri et al. (1986) conducted a case report in Aortocaval fistula (n=2). Surgical repair and dacron graft insertion was evaluated on Successful treatment. Prompt surgical repair and dacron graft insertion successfully treated two cases of aortocaval fistula, though one case was complicated by acute renal failure that improved with medical treatment.
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