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

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Abstrakt

Tytuł:: Endovascular Repair of Iatrogenic Iliocaval Fistula Causing High-Output Cardiac Failure after Spine Fusion.
Autorzy:: Noland S; Department of Cardiovascular Sciences, East Carolina Heart Institute, East Carolina University, Greenville, NC. Electronic address: .
Espinoza CA; Department of Cardiovascular Sciences, East Carolina Heart Institute, East Carolina University, Greenville, NC.
Dvorak JD; Brody School of Medicine, East Carolina University, Greenville, NC.
Rose JD; Department of Cardiovascular Sciences, East Carolina Heart Institute, East Carolina University, Greenville, NC.
Powell CS; Department of Cardiovascular Sciences, East Carolina Heart Institute, East Carolina University, Greenville, NC.
Źródło:: Annals of vascular surgery [Ann Vasc Surg] 2017 Nov; Vol. 45, pp. 262.e1-262.e5. Date of Electronic Publication: 2017 Jun 21.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Publication: <2007->: Netherlands : Elsevier
Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986-
MeSH Terms:: Blood Vessel Prosthesis Implantation*/instrumentation
Cardiac Output*
Endovascular Procedures*/instrumentation
Iatrogenic Disease*
Arteriovenous Fistula/*surgery
Cardiac Output, High/*etiology
Heart Failure/*etiology
Iliac Artery/*surgery
Spinal Fusion/*adverse effects
Vascular System Injuries/*surgery
Vena Cava, Inferior/*surgery
Adult ; Arteriovenous Fistula/diagnostic imaging ; Arteriovenous Fistula/etiology ; Arteriovenous Fistula/physiopathology ; Blood Vessel Prosthesis ; Cardiac Output, High/diagnostic imaging ; Cardiac Output, High/physiopathology ; Computed Tomography Angiography ; Echocardiography, Doppler ; Female ; Heart Failure/diagnostic imaging ; Heart Failure/physiopathology ; Humans ; Iliac Artery/diagnostic imaging ; Iliac Artery/injuries ; Iliac Artery/physiopathology ; Recovery of Function ; Stents ; Treatment Outcome ; Vascular System Injuries/diagnostic imaging ; Vascular System Injuries/etiology ; Vascular System Injuries/physiopathology ; Vena Cava, Inferior/diagnostic imaging ; Vena Cava, Inferior/injuries ; Vena Cava, Inferior/physiopathology
Entry Date(s):: Date Created: 20170626 Date Completed: 20180611 Latest Revision: 20180611
Update Code:: 20240105
DOI:: 10.1016/j.avsg.2017.06.033
PMID:: 28647630
: Czasopismo naukowe

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.
(Copyright © 2017 Elsevier Inc. All rights reserved.)

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