Delayed presentation of traumatic aortocaval fistula: a report of two cases and a review of the associated compensatory hemodynamic and structural changes

Journal of Vascular Surgery
Todd A SpencerGlenn C Hunter

Abstract

Chronic aortocaval fistula (ACF) is a rare complication of gunshot wounds to the abdomen. Herein we report two cases of traumatic ACF: one asymptomatic and the other presenting with congestive heart failure (CHF) 20 and 30 years, respectively, after their initial injury. The recent onset of CHF, the presence of a continuous abdominal bruit, and, in the second patient, a history of penetrating trauma suggested the diagnosis of ACF. The diagnosis was confirmed by computed tomography scanning in both patients. Surgical repair of the ACF in the symptomatic patient resulted in resolution of the CHF and reversed the dilatation of the aorta and inferior vena cava. The asymptomatic patient was lost to follow-up. CHF in a young male patient with a history of penetrating abdominal trauma should alert the surgeon to this rare complication.

References

Dec 11, 1975·American Journal of Surgery·K L MattoxA C Beall
Mar 1, 1983·The Journal of Trauma·G W MachiedoJ M Blackwood
May 5, 1999·Abdominal Imaging·D K RajanA Kazmers
Oct 29, 2000·Journal of Vascular Surgery·D S Sumner
Nov 28, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·L B DavidovicP L J Petrovic
Jun 28, 2005·Annals of Vascular Surgery·Jimmy L WaldropDonald E Barker

❮ Previous
Next ❯

Citations

Aug 25, 2015·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Mohamad AlkhouliYousef Boobes
Jan 5, 2014·Annals of Vascular Diseases·Tanop SrisuwanKittipan Rerkasem
Mar 31, 2009·Journal of Vascular Surgery·Hiong-Ping HiiChien-Chang Chen
Apr 22, 2014·The Journal of Emergency Medicine·Daniel J EganResa E Lewiss
Mar 15, 2016·Diagnostic and Interventional Imaging·S GuneyliI Oran
Feb 24, 2009·Journal of Anesthesia·Keiko MorikawaShosuke Takahashi
Dec 30, 2015·Journal of Clinical Imaging Science·Osman BetonMehmet Birhan Yılmaz
Jan 3, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Juan A AsensioDevendra K Agrawal
Jul 31, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Aishwarya GulatiMaansi Parekh
Jan 20, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·S Keisin WangGary W Lemmon
Nov 26, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·Noura M DabbousehPeter J Rossi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cardiomegaly

Cardiomegaly, known as an enlarged heart, is a multifactorial disease with different pathophysiological mechanisms. Hypertension, pregnancy, exercise-induced and idiopathic causes are some mechanisms of cardiomegaly. Discover the latest research of cardiomegaly here.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.