[Aorto-iliac aneurysms rupturing into the vena cava. A retrospective multicenter study].

Journal des maladies vasculaires

PubMedID: 10804391

Maïza D, Mercier V, Láurc . [Aorto-iliac aneurysms rupturing into the vena cava. A retrospective multicenter study]. J Mal Vasc. 2000;25(2):108-14.
Eleven of the 28 centers participating in the French inter-university association for surgical research (AURC) collected retrospective data on abdominal aortic aneurysms ruptured into the vena cava. Thirty-nine cases were observed between 1979 and 1989. The signs and symptoms reported varied greatly. The pathognomonic triad associating aneurysm, abdominal pain and continuous abdominal murmur was found in one-third of the cases: 25.6% of the patients had signs of global heart failure. The diagnosis was preoperative in 74.4% of the cases. Mean delay of symptomatology before diagnosis was 7 +/- 12 hours. The analysis of operative procedures included 37 patients as 2 patients died before vascular repair could be attempted. Venous repair was done by direct suture in 76% of the cases. Peroperative blood loss was 4 600 +/- 3 500 ml. Perioperative mortality was 11 cases (28.2%). Cardiac and respiratory disorders were the cause of death in 54.4% of the fatal cases.