Successful management of a giant arteriovenous fistula with a combination of selective embolization and excision: report of a case.
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.
Sakurai
Hiroyuki
H
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Japan.
Nozaki
Motohiro
M
Sasaki
Kenji
K
Yamaki
Takasi
T
Aiba
Hinako
H
Tohda
Joh
J
Umezu
Shoichi
S
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