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KMID : 0364020180510060406
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Korean Journal of Thoracic and Cardiovascular Surgery
2018 Volume.51 No. 6 p.406 ~ p.409
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Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock
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Kim In-Ha
Min Ho-Ki
Kim Ji-Yong
Kim Dong-Kie
Kang Do-Kyun
Jun Hee-Jae
Hwang Youn-Ho
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Abstract
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Aortocaval fistula (ACF) occurs in <1% of all abdominal aortic aneurysms (AAAs), and in 3% to 7% of all ruptured AAAs. The triad of clinical findings of AAA with ACF are abdominal pain, abdominal machinery bruit, and a pulsating abdominal mass. Other findings include pelvic venous hypertension (hematuria, oliguria, scrotal edema), lower-limb edema with or without arterial insufficiency or venous thrombus, shock, congestive heart failure, and cardiac arrest. Surgery is the main treatment modality. We report successful surgical treatment in a patient with a ruptured AAA with ACF who presented with cardiogenic shock.
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KEYWORD
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Abdominal aortic aneurysm, Arteriovenous fistula, Cardiogenic shock
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