Treatment of acquired arteriovenous fistula with severe hemodynamic effects: therapeutic challenge

A 34-year-old female patient with severe heart failure and pulmonary hypertension was diagnosed late with a high-output acquired arteriovenous fistula between the right common iliac vein and artery. The most probable cause was an iatrogenic vascular injury inflicted during a prior laparoscopic cholecystectomy. Treatment was conducted by placement of an endoprosthesis in the common iliac artery, achieving total exclusion of the fistula and complete remission of symptoms. Considering the options available for treating this type of lesion, endovascular techniques are becoming ever more effective and are now the option of first-choice for management of this pathology.

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Bibliographic Details
Main Authors: Pilan,Bruna Ferreira, Oliveira,Andréia Marques de, Siqueira,Daniel Emílio Dalledone, Guillaumon,Ana Terezinha
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000100034
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