Successful surgical treatment of a patient with aneurism of the abdominal aorta complicated by the formation of a spontaneous aorto-caval fistula

Aim: This case demonstrates the successful result of urgent open surgery in a patient with polysymptomatic manifestations of aortocaval fistula. Clinical observation: Patient N., 61 years old, was taken to the hospital by an ambulance team 10 days after the onset of the disease with complaints of shortness of breath, swelling of both lower extremities, pain, localized in the lumbar region. The deterioration of the condition notes in the last 2 days with the occurrence of shortness of breath at rest. Based on clinical and instrumental data, a diagnosis was established: Aortic atherosclerosis. Aneurysm of the infrarenal aorta. Complication: Spontaneous aortocaval fistula. Compression of the inferior vena cava. Secondary lymphovenous insufficiency. Operation highlights: Aneurysm has a saccular-fusiform shape, spreading to the proximal part of the common iliac arteries, measuring 150 mm in length and from 70 to 90 mm across. After systemic heparinization, the aorta and iliac arteries are pinched longitudinally, an aneurysmal sac is opened, 150 ml of red blood was evacuated from the cavity of the aneurysm to Cell-Saver...