Post-traumatic giant fistula between the aorta and the left renal vein: A case report

Andreia Prokopiev Andreev; Kouzman Georgiev Guirov

doi:10.1055/s-0031-1278314

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Int J Angiol 2008; 17(4): 217-219
DOI: 10.1055/s-0031-1278314

Case Report

Post-traumatic giant fistula between the aorta and the left renal vein: A case report

Andreia Prokopiev Andreev¹ , Kouzman Georgiev Guirov²

¹Vascular Surgery Department, St Ivan Rilski Hospital, Stara Zagora
²Vascular Surgery Clinic, Military Medical Academy, Sofia, Bulgaria

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Publikationsdatum:
28. April 2011 (online)

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Abstract

A unique case of post-traumatic aorto-left renal vein fistula (ALRVF) is presented. Some specific features of diagnosis and treatment of post-traumatic and postaneurysm ALRVF are discussed. The importance of careful planning of the operative strategy is emphasized because substantial blood loss may lead to serious intraoperative complications and frequently necessitates autohemotransfusion. The 10-year follow-up confirmed that direct reconstruction was the appropriate procedure, with no indications that an endovascular procedure would have been preferable. Direct reconstruction may also be valuable in treating postaneurysm ALVRF.