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The Journal of Cardiovascular Surgery 2001 February;42(1):115-8

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Pelvic arteriovenous malformation with iliac vein thrombosis. A case report

Chikamatsu E., Nagashima T., Mizukami Y., Ikuta K., Sakurai T.

From the Department of Surgery Enshu General Hospital, Hamamatsu, Japan *First Department of Surgery Nagoya University School of Medicine Showa-ku, Nagoya, Japan


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Back­ground. Con­gen­ital arter­i­ov­e­nous mal­for­ma­tions (­AVMs) of the ­pelvis are rel­a­tively ­rare and are dif­fi­cult to ­treat ­because of dif­fuse exten­sion and the ­number of ­feeding ves­sels.
­Methods. We ­describe a ­patient ­with a ­pelvic AVM ­with ­shunts who ­also devel­oped ­iliac ­vein throm­bosis. The AVM was diag­nosed ­during eval­u­a­tion of ­what had ­initially ­appeared to be a ­venous ­stasis ­ulcer.
­Results. The ­ulcer was suc­cess­fully ­treated by ­Palma’s pro­ce­dure, par­tial resec­tion of the ­feeding ves­sels, and trans­cath­eter arte­rial embol­iza­tion.
Con­clu­sions. Coex­is­tence of a ­pelvic AVM ­with an ­iliac ­vein throm­bosis has not pre­vi­ously ­been ­reported.

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