Arteriovenous fistula between the right internal mammary artery and the subclavian vein: percutaneous closure with detachable balloon-catheter embolization.
A case of iatrogenic fistula from the right internal mammary artery to the subclavian vein following subclavian vein catheterization is reported. The patient had undergone percutaneous Intracath catheterization of the subclavian vein to treat hypovolemic shock during the surgical treatment of ectopic pregnancy. She had remained symptom-free for 7 years and then started to complain of effort dyspnea. The patient was found to have a thrill and a bruit at the subclavian region, and arteriography demonstrated a fistula between the right internal mammary artery and the subclavian vein. The fistula was successfully closed by embolization with a percutaneous detachable balloon catheter.
Moura
R
R
Department of Surgery and Orthopaedics, Faculty of Medicine of Botucatu, University Estadual Paulista, São Paulo, Brazil.
Uflacker
R
R
Yoshida
W B
WB
Rollo
H A
HA
Lastoria
S
S
Maffei
F H
FH
D000328:Adult; D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002404:Catheterization / Q000295:instrumentation*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000293:injuries; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery; D013350:Subclavian Vein / Q000000981:diagnostic imaging / Q000293:injuries