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Angiologia e Cirurgia Vascular
versão impressa ISSN 1646-706X
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LOPES, José Almeida; MANSILHA, Armando e TEIXEIRA, José Fernando. Aortocaval Fistula: Case report. Angiol Cir Vasc [online]. 2014, vol.10, n.1, pp.25-29. ISSN 1646-706X.
Aortocaval fistulas are rare complications of abdominal aortic aneurysms (AAA) and are often associated with significant mobi-mortality. The authors present a case report of a patient who comes to our hospital and an AAA of 6.9 cm and an associated aortocaval fistula were diagnosed. We performed its urgent surgical correction by open repair, were a 20 mm tubular Dacron® graft was used for the aortic reconstruction. The hospitalization lasted for 30 days, during which developed gangrene of the right lower limb, requiring major amputation of this limb. The patient adapted well to a lower limb prosthesis and 3 years after this surgery dies of a metastic esophageal cancer. It is performed a literature review of the pathology in question and made reference to the various treatment options.
Palavras-chave : Aortocaval fistula; Abdominal aortic aneurysm.