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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
| Journals - Article | |
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| Česky / Czech version | Rozhl. Chir., 2004, roč. 83, č. 10, s. 493-497. |
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Diagnosis of Spontaneous Arteriovenous Fistula Complicating
Aortoiliac Aneurysm Using Spiral CT. Report of 3 Cases Chovanec V.1, Raupach J.1, Eliáš P.1, Jon B.2, Vacek Z.1, Zbořilová I.1, Tišer J.3, Nikolov D. H.4, Sedláček Z.1 1Radiologická klinika FN, Hradec Králové, přednosta prof. MUDr. P. Eliáš, CSc. 2Chirurgická klinika FN, Hradec Králové, přednosta prof. MUDr. Z. Vobořil, DrSc. 3Kardiochirurgická klinika FN, Hradec Králové, přednosta prof. MUDr. J. Dominik, CSc.4Fingerlandův ústav patologie FN, Hradec Králové, přednosta prof. MUDr. I. Šteiner, CSc. |
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Summary: Acute spontaneous arterio-venous fistula complicating atherosclerotic abdominal aortic aneurysm (AAA) is
rare. This life-threatening setting is observed in 1–2% of all AAAs and 2–4% of ruptured of AAAs. The triad of
abdominal or lower back pain, pulsatile abdominal mass, and continual abdominal machinery-like bruit is seen
only in half of cases. Currently, CT angiography is a noninvasive technique which enables a rapid and exact
preoperative diagnosis. The authors describe three cases of aortoiliac aneurysm complicated by an acute
arteriovenous fistula which were diagnosed using spiral CT.
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