{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:27:42Z","timestamp":1790062062655,"version":"4.0.1"},"reference-count":15,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>Aortocaval fistula (ACF) is an unusual complication of ruptured abdominal aortic aneurysm (AAA), involving less than 3\u20136% of all ruptured cases. The clinical presentation is often obscure, depending on the coexistence of retroperitoneal rupture and hemodynamic instability. Prompt preoperative diagnosis is essential in order to plan the operative approach and improve patient\u2019s outcome. We report the surgical treatment of two patients presented in the emergency department with ACF due to ruptured AAA, each with different clinical presentation, emphasizing the high index of suspicion needed by the clinician to early diagnose and treat this often lethal condition. Operative strategy and special considerations in the management of this subgroup of patients are also discussed.<\/jats:p>","DOI":"10.1155\/2012\/123081","type":"journal-article","created":{"date-parts":[[2012,10,24]],"date-time":"2012-10-24T21:00:45Z","timestamp":1351112445000},"page":"1-4","source":"Crossref","is-referenced-by-count":7,"title":["Clinical Manifestations of Aortocaval Fistulas in Ruptured Abdominal Aortic Aneurysm: Report of Two Cases"],"prefix":"10.1155","volume":"2012","author":[{"given":"Emmanouil D.","family":"Psathas","sequence":"first","affiliation":[{"name":"Second Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stella","family":"Lioudaki","sequence":"additional","affiliation":[{"name":"Second Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikes","family":"Doulaptsis","sequence":"additional","affiliation":[{"name":"Second Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros","family":"Charalampoudis","sequence":"additional","affiliation":[{"name":"Second Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Klonaris","sequence":"additional","affiliation":[{"name":"Second Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Verikokos","sequence":"additional","affiliation":[{"name":"Second Department of Propaedeutic Surgery, Laiko Hospital, Medical School, University of Athens, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"issue":"4","key":"1","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1055\/s-2007-1016489","volume":"42","year":"1994","journal-title":"Thoracic and Cardiovascular Surgeon"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s100169900076"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(98)00166-4"},{"issue":"1","key":"4","first-page":"15","volume":"61","year":"1978","journal-title":"Minnesota Medicine"},{"issue":"5","key":"5","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/0002-9610(77)90455-X","volume":"134","year":"1977","journal-title":"American Journal of Surgery"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(03)00725-0"},{"issue":"3","key":"7","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1136\/emj.17.3.223","volume":"17","year":"2000","journal-title":"Journal of Accident and Emergency Medicine"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s100169900122"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.1998.0777"},{"issue":"5","key":"10","first-page":"403","volume":"13","year":"1972","journal-title":"Journal of Cardiovascular Surgery"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1177\/1538574411407087"},{"issue":"4","key":"12","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1583\/1074-6218(1999)006<0378:AFACFE>2.0.CO;2","volume":"6","year":"1999","journal-title":"Journal of Endovascular Surgery"},{"issue":"3","key":"13","first-page":"387","volume":"50","year":"2009","journal-title":"Journal of Cardiovascular Surgery"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-009-9640-5"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2005.07.017"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2012\/123081.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2012\/123081.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2012\/123081.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T01:50:42Z","timestamp":1498009842000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cris\/2012\/123081\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":15,"alternative-id":["123081","123081"],"URL":"https:\/\/doi.org\/10.1155\/2012\/123081","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}