A Giant Arteriovenous Aneurysm of the Abdominal Aorta and Inferior Vena Cava

Sen, Sunil K.; Datta, Jyotirmay
June 1975
Angiology;Jun1975, Vol. 26 Issue 6, p499
Academic Journal
A male patient of 40 years who had a rare type of arteriovenous aneurysm involving aorta and interior vena cava at the level of the second lumbar vertebra has been presented. The patient's salient presenting features were a diffuse cystic lump in the epigastrium which was pulsatile and expansile in nature. A systolo-diastolic thrill was felt and a continuous machinery murmur was heard on auscultation over it. An aneurysm of the abdominal aorta bursting into inferior vena cava was diagnosed clinically. This was confirmed antemortem by percutaneous transfemoral angiogram. Unfortunately, surgery could not be done and the patient expired on 5�8��74. The diagnosis was proved beyond doubt by partial postmortem examination. The aetiology is decided to be a traumatic one by carefully scanning the history, and that it is neither syphilitic nor atheromatous ts proved by histopathological examination using special stain.


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