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Type A Aortic Dissection with Aortocaval Fistula -Report of 1 case-  

김흥수 (부산대학교 의과대학 흉부외과학교실)
양승인 (부산대학교 의과대학 흉부외과학교실)
정성운 (부산대학교 의과대학 흉부외과학교실)
김종원 (부산대학교 의과대학 흉부외과학교실)
이형렬 (부산대학교 의과대학 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.35, no.8, 2002 , pp. 599-604 More about this Journal
Abstract
Acute or chronic aortic dissection may lead to the rupture, which is the major cause of death. A dissecting aneurysm of ascending aorta(Stanford type A dissection) can rupture into the superior vena cava producing a aortocaval fistula, which is rare, but has been reported mostly in the cases of abdominal aortic aneurysm. We report a case of 67-year-old man with type A chronic dissection and aortocaval fistula, presenting symptoms of superior vena syndrome. The preoperative diagnosis was composed of radiologic examinations, including computed tomography, magnetic resonance imaging angiography and aortography. The dissecting aneurysm was resected and replaced, and the aortocaval fistula was repaired under deep hypothermic circulatory arrest. The details are described here.
Keywords
Aneurysm, dissecting; Aortic bistula; Aortic aneurysm, ascending;
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