Coil embolization of iatrogenic arterio-venous fistula from pulmonary collateral artery to subclavian vein.
A young woman with surgically treated tetralogy of Fallot with pulmonary atresia, with multiple aorto-pulmonary collateral arteries, developed an arteriovenous fistula subsequent to transvenous insertion of an automatic implantable defibrillator via the left subclavian vein. The fistula extended between this vein and a systemic-to-pulmonary collateral artery arising from the subclavian artery. Unilateral peau d'orange, and painful congestion of the left arm and breast, ensued. These were cured by coil embolization of a fistula-related aneurysm.
Radford
D
D
Department of Cardiology, Queensland Centre for Congenital Heart Disease, The Prince Charles Hospital, Brisbane, Australia. dorothy_radford@health.qld.gov.au
Slaughter
R
R
D001164:Arteriovenous Fistula / Q000628:therapy*; D017147:Defibrillators, Implantable; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D011651:Pulmonary Artery; D013350:Subclavian Vein