Repair of a high-flow iliac arteriovenous fistula using a thoracic endograft.
Open surgical repair of iliac arteriovenous fistulas is associated with significant morbidity and mortality, making endovascular repair an attractive alternative. This report describes a 39-year-old man who was admitted with two-pillow orthopnea, edema, and fatigue. He had sustained a gunshot wound to the pelvis 13 years previously. Six years after the gunshot wound, he was diagnosed with cardiomegaly and high-output congestive heart failure. A magnetic resonance angiography documented a large pelvic arteriovenous fistula. A diagnostic contrast angiogram confirmed a high-flow fistula between the left distal main internal iliac artery and left common iliac vein. A Gore TAG thoracic endoprosthesis (W. L. Gore and Assoc, Flagstaff, Ariz) was used to repair this large, high-flow internal iliac artery-common iliac vein arteriovenous fistula.
Cronin
Brett
B
Division of Vascular Surgery and Endovascular Therapy, University of Southern California CardioVascular Thoracic Institute, Los Angeles, CA 90033, USA.
Kane
Justin
J
Lee
William
W
Shriki
Jabi
J
Weaver
Fred A
FA
D000328:Adult; D001013:Aorta, Thoracic; D001164:Arteriovenous Fistula / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006332:Cardiomegaly / Q000209:etiology / Q000601:surgery; D004487:Edema / Q000209:etiology / Q000601:surgery; D005221:Fatigue / Q000209:etiology / Q000601:surgery; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D007084:Iliac Vein / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008297:Male; D011474:Prosthesis Design; D012039:Regional Blood Flow; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications* / Q000503:physiopathology / Q000601:surgery