Iliocaval Fistula Presenting with Paradoxical Pulmonary Embolism Combined with High-Output Heart Failure Successfully Treated by Endovascular Stent-Graft Repair: Case Report.
10.3346/jkms.2014.29.2.296
- Author:
Soo Jin NA
1
;
Yoon Seok KOH
;
Tae Hoon KIM
;
Sun Chul PARK
;
Woo Seung SHIN
;
Ho Jong CHUN
;
Jong Min LEE
Author Information
1. Cardiovascular Center and Division of Cardiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. kyoonseok@catholic.ac.kr
- Publication Type:Case Reports
- Keywords:
Arteriovenous Fistula;
Pulmonary Embolism;
Angioplasty
- MeSH:
Dyspnea/diagnosis;
Endovascular Procedures;
Fistula/complications/*diagnosis;
Heart Failure/complications/*diagnosis/surgery;
Humans;
Iliac Vein;
Male;
Middle Aged;
Pulmonary Embolism/complications/*diagnosis/surgery;
*Stents;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2014;29(2):296-300
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 51-yr-old man presented exertional dyspnea as a consequence of iliocaval fistula combined with paradoxical pulmonary embolism and high-output heart failure. Endovascular stent-graft repair was performed to cover iliocaval fistula and restore the heart function. After the procedure, dyspnea was improved and procedure related complication was not seen. A 6-month follow-up computed tomography showed regression of pulmonary thromboembolism and well-positioned stent-graft without graft migration, aortacaval communication or endoleak. Stent graft implantation should be considered an alternative of open repair surgery for treament of abdominal arteriovenous fisula, especially in patient with high risk for surgery.
