Aorta-left renal vein reports fistula in a woman

Yagdi T. , Atay Y. , Engin C. , Ozbek S. S. , BUKET S.

TEXAS HEART INSTITUTE JOURNAL, cilt.31, ss.435-438, 2004 (SCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 31 Konu: 4
  • Basım Tarihi: 2004
  • Sayfa Sayıları: ss.435-438


Spontaneous rupture of an abdominal aortic aneurysm into a retroaortic left renal vein is an uncommon occurrence. A 55-year-old woman presented with shortness of breath, vomiting, and diffuse abdominal pain that had radiated to her back and legs for the preceding 10 days. A pulsatile abdominal mass, hematuria, renal insufficiency, and heart failure were present at the initial evaluation. Computed tomography showed an infrarenal abdominal aortic aneurysm that communicated with a retroaortic left renal vein. After urgent surgical repair cardiac and renal function were dramatically improved. To the best of our knowledge, this is the 1st reported case of a woman with such a fistula. We review treatments reported in the literature.