Abstract
A case of solitary iliac aneurysm which ruptured into the left common iliac vein and presented with heart failure is experienced. An 85-year-old man under the treatment of heart failure which suddenly developed 2 years before was admitted to the hospital becase of an early gastric cancer. Digital examination and computed tomography revealed an aneurysm of the iliac artery. Arferiography showed the arteriovenous fistula between left internal iliac artery and left common iliac vein. One stage operation was performed on this patient, taking account of his age, general condition, and the prognosis of the early gastric cancer. Closure of the fistula and the interposition graft between common and external iliac artery were performed. Then partial resection of the antrum was performed. Disappearance of A-V shunt resulted in remarkable decrease in CTR. There were no complications after the operation including graft infection. One stage operation for this patient was thought to be very useful.
