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

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Presentation on theme: "Delayed presentation of traumatic aortocaval fistula: A report of two cases and a review of the associated compensatory hemodynamic and structural changes "— Presentation transcript:

1 Delayed presentation of traumatic aortocaval fistula: A report of two cases and a review of the associated compensatory hemodynamic and structural changes  Todd A. Spencer, MD, Stephen H. Smyth, MD, Gerard Wittich, MD, Glenn C. Hunter, MD  Journal of Vascular Surgery  Volume 43, Issue 4, Pages (April 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Axial contrast-enhanced computed tomographic scan at the level of L2 shows a traumatic pseudoaneurysm (white arrow) to the right of the aorta (arrowhead) and posterior to the inferior vena cava (black arrow). Note the multiple gunshot pellets in the region of the right quadratus lumborum muscle. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Three-dimensional reconstruction and shaded surface rendering of the retroperitoneal vessels after contrast-enhanced helical computed tomographic scanning; the posterior view demonstrates the aortic (A) neck of the pseudoaneurysm (P) and its position to the dilated inferior vena cava (IVC). B, Right anterior oblique view of the aorta (A), IVC, pseudoaneurysm (P), and inferior mesenteric artery (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Axial contrast-enhanced computed tomographic scan at the level of the renal hilum demonstrates a partially calcified pseudoaneurysm (white arrow) located between the aorta (arrowhead) and the massively dilated inferior vena cava (black arrow). The left renal vein is dilated and displaced anteriorly. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Three-dimensional reconstruction of a helical computed tomographic scan with shaded surface rendering shows the left and right kidney (LK and RK), the aorta (A), and the dilated inferior vena cava (IVC). The pseudoaneurysm (P) is associated with the aortocaval fistula. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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