[Congestive heart failure and continuous murmur in patient after lumbar disc surgery--a case report].
We present a case of a 61-year-old female who was admitted to the hospital with symptoms of congestive heart failure. Diagnosis of arteriovenous fistula was suggested by the echocardiographic signs of high-output state and a continuous murmur heard especially close to the surgical scar from an intervention on the L4-L5 disc that the patient had undergone eight months before. Aortography confirmed arteriovenous fistula between the right common iliac artery and inferior vena cava. After surgical closure of the fistula, normal cardiac function was restored.
Mazij
Mariusz
M
Oddział Kardiologiczny, Wojewódzki Szpital Specjalistyczny, Ośrodek Badawczo-Rozwojowy, ul. Kamieńskiego 73a, 51-124 Wrocław. mmazij@interia.pl
Szafran
Bartosz
B
Lenartowska
Lucyna
L
Drelichowski
Stanisław
S
Włodarczak
Paweł
P
Sobkowicz
Bozena
B
Lewczuk
Jerzy
J
D001027:Aortography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017586:Diskectomy / Q000009:adverse effects*; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006337:Heart Murmurs / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery; D007405:Intervertebral Disc Displacement / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery; D008875:Middle Aged; D014682:Vena Cava, Inferior