Aortoiliac Arteriovenous Fistulae Simulating Deep Vein Thrombosis-Juniper Publishers
JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Incidence of aorto-caval fistulae is quite low, ranging from 0.22 to 6.04% of all abdominal aortic aneurysm. One of the rare forms of abdominal aortic aneurysm rupture is rupture into great abdominal veins, such as the inferior vein cava (IVC) or the iliac veins. The typical clinical presentation includes abdominal pain, a pulsatile abdominal mass, an abdominal bruit and acute dyspnea. Morbidity and mortality will be affected by the acute presentation, preoperative recognition of the fistula, the extent of cardiac failure, coronary disease and other risk factors of atherosclerosis. Correct operative management includes expeditious control of the bleeding, greater care to avoid embolization through the fistula, use of blood salvage, and only selective caval interruption. Introduction Arteriovenous fistula (AVF) of the infrare