Surgical Treatment for Common Iliac Arteriovenous Fistula after Lumbar Laminectomy.
- Author:
Kyoung Min RYU
1
;
Jae Wook RYU
;
Seong Sik PARK
;
Seok Kon KIM
;
Pil Won SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine, Korea. pwseo@dankook.ac.kr
- Publication Type:Case Report
- Keywords:
Fistula;
Surgery, vessel;
Iliac artery
- MeSH:
Adult;
Aneurysm;
Aneurysm, False;
Angioplasty;
Aorta;
Arteriovenous Fistula*;
Diskectomy;
Dyspnea;
Edema;
Fistula;
Follow-Up Studies;
Hemorrhage;
Humans;
Iliac Artery;
Laminectomy*;
Lower Extremity;
Male;
Sutures;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(6):455-458
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 40 year-old male patient admitted for dyspnea and edema of the lower extremities. A pulsatile abdominal mass with a bruit was palpable in the right lower quadrant. Four months previously, he had underwent left partial laminectomy (L4~5) and discectomy at the L4 level due to disc protrusion. Computed tomography showed an ilio-iliac AV fistula with pseudoaneurysm at the L5 level. Because massive bleeding occurred when the aneurysm was entered, we closed the aneurysm and performed resection and suture of the aorta and both iliac arteries very near the aneurysm. After exclusion of the arterial side, we performed reduction angioplasty at the aneurysm and aorto-biiliac reconstruction with an artificial graft. Twenty-four months after operation, he is doing well and hasn't had any complications on the follow-up.
