Aortocaval Fistula Associated with Abdominal Aortic Aneurysm: A Diagnostic Challenge
Annals of Vascular Surgery(2014)
摘要
The purpose of this study is to determine the clinical features with the best preoperative diagnostic value for aortocaval fistulas (ACF) associated with abdominal aortic aneurysm (AAA). A review of our experience of seven patients presenting ACF between 1980 and 1994 as well as an extensive study of the literature provide a clearer picture of the signs and symptoms allowing diagnosis of ACF: edema of the lower extremities and signs of venous hypertension are the most predictive findings; continuous abdominal murmur is noted in 66% of cases and is of good diagnostic value. (Ann Vasc Surg 1997;11:464–466.)
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