title: Successful management of a giant arteriovenous fistula with a combination of selective embolization and excision: report of a case.
abstract: We experienced a female patient with a giant arteriovenous fistula in her lumbar region, which was successfully managed by a combination of selective embolization and a subsequent total excision. Embolization of the giant arteriovenous malformation resulted in an immediate decrease in the cardiac output and an increase in systemic vascular resistance. Three days after the embolization, a total resection of the lesion was achieved under general anesthesia, with a minimum amount of blood loss. The large skin defect after a total excision of the cutaneous lesion was covered with bilateral latissimus dorsi musculocutaneous flaps.
authors: Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Japan.
authors: Hiroyuki
authors: H
authors: Sakurai
authors: Motohiro
authors: M
authors: Nozaki
authors: Kenji
authors: K
authors: Sasaki
authors: Takasi
authors: T
authors: Yamaki
authors: Hinako
authors: H
authors: Aiba
authors: Joh
authors: J
authors: Tohda
authors: Shoichi
authors: S
authors: Umezu
mesh_terms: D000328:Adult; D001164:Arteriovenous Fistula / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D016038:Skin Transplantation