This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (59)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Lester L. Mohr, MD; Louis L. Smith, MD

Arch Surg. 1975;110(7):806-812.

Abstract
Two patients with spontaneous aortocaval fistulas are described and compared with 67 cases reported in the English literature. Symptoms may vary widely; however, the presence of an expansile abdominal mass with a continuous bruit is usually diagnostic. The only successful management is prompt repair of the vena caval defect and the aortic aneurysm.

A third patient with spontaneous rupture of an abdominal aortic aneurysm into the left renal vein is also described. Only five similar cases could be found in the world literature. Left flank pain, pulsatile abdominal mass, continuous bruit, and hematuria is the usual clinical picture. All of these cases involved an anomalous left retroaortic renal vein and all patients survived the necessary surgical correction. The operation of choice is closure of the defect in the retroaortic left renal vein and repair of the aneurysm.

Author Affiliations
From the Peripheral Vascular Surgical Service, Department of Surgery, Loma Linda University, Loma Linda, Calif.

Footnotes
Accepted for publication Feb 11, 1975.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Santa Barbara, Calif, Jan 17, 1975.

Reprint requests to Peripheral Vascular Surgical Service, Department of Surgery, Loma Linda University, Loma Linda, CA 92354 (Dr. Mohr).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Residual Aorto-Caval Fistula: Treatment by Embolotherapy A Case Report
Boyarsky et al.
VASC ENDOVASCULAR SURG 1987;21:440-443.
ABSTRACT  

Aortocaval Fistula: Diagnosis and Treatment: Case Studies
Taheri and Plonka
ANGIOLOGY 1986;37:314-318.
ABSTRACT  

Spontaneous Major Intra-Abdominal Arteriovenous Fistulas: A Report of Several Cases
Astarita et al.
ANGIOLOGY 1985;36:656-661.
ABSTRACT  

Spontaneous Aorto-Venous Fistula: An Occult Diagnosis
Thomas et al.
VASC ENDOVASCULAR SURG 1984;18:141-145.
ABSTRACT  

Communications to the Editor: Clinical Case Reports
Blackshear
VASC ENDOVASCULAR SURG 1984;18:108-111.
 

Successful Repair of Spontaneous Iliac Artery- Iliac Vein Fistula
Hines et al.
VASC ENDOVASCULAR SURG 1978;12:349-353.
ABSTRACT