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Their Occurrence Secondary to Aneurysmal Disease of the Aorta and Iliac Arteries

David W. Duppler, MD; William E. Herbert, MD; Richard C. Dillihunt, MD; Ferris S. Ray, MD

Arch Surg. 1985;120(7):786-790.

Abstract
• We present three cases of arteriovenous fistula secondary to aneurysmal disease. The first patient, a 75-year-old man, presented with abdominal pain, a large pulsatile mass, and renal failure. He underwent repair of his aortocaval fistula; his renal failure resolved and the remainder of his course was uneventful. The second patient, a 77-year-old man, presented with a several-day history of nausea, lower abdominal pain, and a pulsatile mass. He underwent repair of his aortocaval fistula but died on the 21st postoperative day of progressive pulmonary failure. The third patient, a 76-year-old man, presented with an episode of syncope and subsequent rapid development of left lower extremity edema. He was subsequently found to have a right iliac artery to left iliac vein fistula, which was repaired. He did well postoperatively with gradual resolution of his lower extremity edema.

(Arch Surg 1985;120:786-790)

Author Affiliations
From the Department of Surgery, Maine Medical Center, Portland.

Footnotes
Accepted for publication March 14, 1985.

Read before the 11th annual meeting of the New England Society for Vascular Surgery, Dixville Notch, NH, Oct 11, 1984.

Reprint requests to Maine Medical Center, 22 Bramhall St, Portland, ME 04102 (Dr Duppler).

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