Korean Journal of Thoracic and Cardiovascular Surgery 2018; 51(6): 406-409  https://doi.org/10.5090/kjtcs.2018.51.6.406
Surgical Repair of Aortocaval Fistula Presenting with Cardiogenic Shock
In Ha Kim, M.D.1, Ho-Ki Min, M.D.1, Ji Yong Kim, M.D.1, Dong-Kie Kim, M.D.2, Do Kyun Kang, M.D.1, Hee Jae Jun, M.D.1, and Youn-Ho Hwang, M.D.1
1Department of Thoracic and Cardiovascular Surgery and 2Division of Cardiology, Department of Internal Medicine, nje University Haeundae Paik Hospital, Inje University College of Medicine
Corresponding author: Ho-Ki Min, Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeun-daero, Haeundae-gu, Busan 48108, Korea
(Tel) 82-51-797-3135 (Fax) 82-51-797-3135 (E-mail) minhoki@naver.com
Received: March 16, 2018; Revised: September 2, 2018; Accepted: September 4, 2018.; Published online: December 5, 2018.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords: Abdominal aortic aneurysm, Arteriovenous fistula, Cardiogenic shock


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