Author: Vespro, Valentina; Fusco, Stefano; Ierardi, Anna Maria; Grassi, Viviana; D’Alessio, Ilenia; Crespi, Silvia; Andrisani, Maria Carmela; Bellobuono, Andrea; Trimarchi, Santi; Carrafiello, Gianpaolo
Title: A rare case of paradoxical pulmonary embolism in spontaneous aortocaval fistula Cord-id: uqzpr3oc Document date: 2021_1_6
ID: uqzpr3oc
Snippet: Aortocaval fistula (ACF) is a rare complication of abdominal aortic aneurysm (AAA), occurring in less than 1% of all AAAs. Paradoxical embolism can rarely be associated with ACF, pulmonary embolism may originate from dislodgment of thrombotic material from the AAA in the inferior vena cava (IVC) through the ACF. We report a case of a patient admitted to the emergency department with abdominal pain and shortness of breath who immediately underwent thoraco-abdominal CT. Imaging allowed a prompt pr
Document: Aortocaval fistula (ACF) is a rare complication of abdominal aortic aneurysm (AAA), occurring in less than 1% of all AAAs. Paradoxical embolism can rarely be associated with ACF, pulmonary embolism may originate from dislodgment of thrombotic material from the AAA in the inferior vena cava (IVC) through the ACF. We report a case of a patient admitted to the emergency department with abdominal pain and shortness of breath who immediately underwent thoraco-abdominal CT. Imaging allowed a prompt pre-operative diagnosis of an ACF between an AAA and the IVC, also identifying CT signs of right heart overload and the presence of a paradoxical pulmonary embolism.
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