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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2002 August;43(4):523-6

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Endovascular treatment of a postlaminectomy arteriovenous fistula. A case report

Ventura M. 1, Rivellini C. 1, Saracino G. 1, Mastromarino A. 1, Spartera C. 1, Zannetti S. 2

1 Department of Vascular Surgery Faculty of Medicine and Surgery University of L’Aquila, L’Aquila, Italy 2 Vascular Surgery, Monteluce Hospital, Perugia, Italy


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We ­report a ­case of ­iliac arter­i­ov­e­nous fis­tu­la (­AVF) fol­low­ing ­disk sug­ery. A 51-­year-­old wom­an under­went hem­i­lam­i­nec­to­my ­for a ­slipped ­disk. Two ­weeks ­after sur­gery ­the ­patient expe­ri­enced dysp­nea ­and oede­ma of ­the low­er ­limbs. Presence of a sys­tol­ic mur­mur on ­the car­diac ­floor ­and on ­the abdo­men ­was detect­ed ­and abdo­men CT ­scan ­which evi­denced a ­AVF ­between ­the ­right com­mon ­iliac ­artery ­and ­vein. The ­lesion, con­firmed by angiography, ­was suc­cess­ful­ly treat­ed ­with ­the endo­vas­cu­lar tech­nique. The endo­vas­cu­lar tech­nique ­appears to be a val­id alter­na­tive to ­the tra­di­tion­al sur­gi­cal treat­ment of ­postlam­i­nec­to­my ­AVF.

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