A 71-year-old man with a past medical history of arterial hypertension and a solitary kidney (right kidney) presented with sudden pain in the right iliac fossa radiating to the ipsilateral groin. On examination, a pulsatile mass was palpated in the infraumbilical region, along with a continuous murmur in the mesogastrium. He was admitted to the ICU in a dazed state with significant hemodynamic instability and tachycardia. A basal abdominal CT scan revealed a large infrarenal abdominal aortic aneurysm with signs of perianeurysmal bleeding (arrow in Fig. 1). Following contrast administration, a communication was observed between the right posterolateral wall of the aneurysm and the inferior vena cava, consistent with an aortocaval fistula (arrow in axial view Fig. 2A and coronal view B). These findings were confirmed in the 3D reconstruction performed (Fig. 3). Stent-graft implantation was decided by the heart surgical team. Eventually, the patient developed an episode of ischemic colitis and septic shock, leading to his death 7 days later.
The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.
© Clarivate Analytics, Journal Citation Reports 2022
SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.
See moreSNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
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