Abstract
A unique case of post-traumatic aorto-left renal vein fistula (ALRVF) is presented.
Some specific features of diagnosis and treatment of post-traumatic and postaneurysm
ALRVF are discussed. The importance of careful planning of the operative strategy
is emphasized because substantial blood loss may lead to serious intraoperative complications
and frequently necessitates autohemotransfusion. The 10-year follow-up confirmed that
direct reconstruction was the appropriate procedure, with no indications that an endovascular
procedure would have been preferable. Direct reconstruction may also be valuable in
treating postaneurysm ALVRF.
