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Endovascular Repair of Iatrogenic Iliocaval Fistula Causing High-Output Cardiac Failure after Spine Fusion.

Abstract：

:The case being presented is a 35-year-old female with a 3-year history of progressive dyspnea and right-sided heart failure following spine surgery. Physical examination identified a continuous bruit in the lower abdomen radiating to her back which prompted further evaluation. Echocardiography showed normal left ventricle systolic function, enlarged right ventricle, functional tricuspid regurgitation, and moderate pulmonary hypertension. A computed tomography (CT) scan of the abdomen and pelvis demonstrated findings consistent with an arteriovenous fistula (AVF) between the right common iliac artery and the inferior vena cava. She underwent an uneventful endovascular repair without perioperative complication. The patient's symptoms resolved a few hours after the procedure and she continued to be symptom free at 3-month follow-up. This case illustrates an iatrogenic iliocaval fistula causing high-output cardiac failure which was successfully treated endovascularly with excellent clinical result.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Noland S,Espinoza CA,Dvorak JD,Rose JD,Powell CS

doi

10.1016/j.avsg.2017.06.033

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

262.e1-262.e5

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(16)30974-8

journal_volume

45

pub_type

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