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  • Title: Aortocaval fistula as a complication of leaking aortic aneurysm.
    Author: Magee HR, Mellick SA.
    Journal: Br J Surg; 1977 Apr; 64(4):239-41. PubMed ID: 851699.
    Abstract:
    The successful management of 2 patients is reported, each involving the closure of a fistula into the inferior vena cava as a sequel to the rupture of an atherosclerotic aortic aneurysm. It is an uncommon complication which should be suspected in the presence of an aortic aneurysm with a loud machinery bruit. Associated peripheral cyanosis and venous pulsation in the accessible proximal veins of the lower extremity and priapism afford strong supporting evidence.
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