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Rupture of Abdominal Aortic Aneurysm Into Vena Cava: Electrocardiographic Changes

Rupture of Abdominal Aortic Aneurysm Into Vena Cava: Electrocardiographic Changes Abstract Aneurysms of the abdominal aorta are considered to be predominantly atherosclerotic in origin.1 Patients may remain asymptomatic for many years, until symptoms occur as a result of pressure on neighboring organs, leakage, or perforation.2 Symptomatic aneurysms represent a serious hazard to the patient. Death usually results from rupture of the aneurysm into the retroperitoneal space, peritoneum, occasionally the intestinal tract, and rarely the inferior vena cava. The world literature contains reports of approximately 33 cases of perforation into the inferior vena cava, only ten of which have been reported during the past two decades. The purpose of this case report is to call attention to the electrocardiographic changes that occurred in a patient in whom a fistula developed between an abdominal aortic aneurysm and the inferior vena cava. Report of a Case A 78-year-old white man came to the Mayo Clinic on March 8, 1961, for a general References 1. Estes, J. E., Jr.: Abdominal Aortic Aneurysm: A Study of 102 Cases , Circulation 2:258-264 ( (Aug) ) 1950.Crossref 2. Schatz, I. J.; Fairbairn, J. F., II; and Juergens, J. L.: Abdominal Aortic Aneurysms: A Reappraisal, presented at the meeting of the American Heart Association. Miami Beach, Fla, October, 1961. 3. Eiseman, B., and Hughes, R. H.: Repair of an Abdominal Aortic Vena Caval Fistula Caused by Rupture of an Atherosclerotic Aneurysm , Surgery 39:498-504 ( (March) ) 1956. 4. Shumacker, H. B., Jr., and Jontz, J.: Rupture of Abdominal Aortic Aneurysm Into Inferior Vena Cava: Successful Surgical Repair , Amer Surg 22: 1182-1185 ( (Dec) ) 1956. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Rupture of Abdominal Aortic Aneurysm Into Vena Cava: Electrocardiographic Changes

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1963.03860010075006
Publisher site
See Article on Publisher Site

Abstract

Abstract Aneurysms of the abdominal aorta are considered to be predominantly atherosclerotic in origin.1 Patients may remain asymptomatic for many years, until symptoms occur as a result of pressure on neighboring organs, leakage, or perforation.2 Symptomatic aneurysms represent a serious hazard to the patient. Death usually results from rupture of the aneurysm into the retroperitoneal space, peritoneum, occasionally the intestinal tract, and rarely the inferior vena cava. The world literature contains reports of approximately 33 cases of perforation into the inferior vena cava, only ten of which have been reported during the past two decades. The purpose of this case report is to call attention to the electrocardiographic changes that occurred in a patient in whom a fistula developed between an abdominal aortic aneurysm and the inferior vena cava. Report of a Case A 78-year-old white man came to the Mayo Clinic on March 8, 1961, for a general References 1. Estes, J. E., Jr.: Abdominal Aortic Aneurysm: A Study of 102 Cases , Circulation 2:258-264 ( (Aug) ) 1950.Crossref 2. Schatz, I. J.; Fairbairn, J. F., II; and Juergens, J. L.: Abdominal Aortic Aneurysms: A Reappraisal, presented at the meeting of the American Heart Association. Miami Beach, Fla, October, 1961. 3. Eiseman, B., and Hughes, R. H.: Repair of an Abdominal Aortic Vena Caval Fistula Caused by Rupture of an Atherosclerotic Aneurysm , Surgery 39:498-504 ( (March) ) 1956. 4. Shumacker, H. B., Jr., and Jontz, J.: Rupture of Abdominal Aortic Aneurysm Into Inferior Vena Cava: Successful Surgical Repair , Amer Surg 22: 1182-1185 ( (Dec) ) 1956.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jul 1, 1963

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