Lay JP, Swainson CJ, Sukumar SA. Paradoxical pulmonary embolism secondary to aortocaval fistula: diagnosis by helical CT.
Br J Radiol 1999;
72:507-9. [PMID:
10505020 DOI:
10.1259/bjr.72.857.10505020]
[Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Spontaneous aortocaval fistula is an unusual but well recognized complication of abdominal aortic aneurysm. Reports of aortocaval fistula as the source of pulmonary embolism are rare. We report a case of paradoxical pulmonary embolism secondary to an aortocaval fistula. The abdominal aortic aneurysm and the associated aortocaval fistula were well demonstrated on helical CT, leading to early diagnosis and prompt surgical treatment with good clinical outcome.
Collapse