A rare case of paradoxical pulmonary embolism in spontaneous aortocaval fistula.
Journal
BJR case reports
ISSN: 2055-7159
Titre abrégé: BJR Case Rep
Pays: England
ID NLM: 101684132
Informations de publication
Date de publication:
01 May 2021
01 May 2021
Historique:
received:
19
10
2020
revised:
28
11
2020
accepted:
22
12
2020
entrez:
16
6
2021
pubmed:
17
6
2021
medline:
17
6
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 34131500
doi: 10.1259/bjrcr.20200183
pmc: PMC8171143
doi:
Types de publication
Case Reports
Langues
eng
Pagination
20200183Informations de copyright
© 2021 The Authors. Published by the British Institute of Radiology.
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