title: Splenic arteriovenous fistula: successful treatment with an Amplatz occlusion device.
abstract: Splenic artery and vein aneurysm with splenic arteriovenous fistula (SAVF) is a rare entity. We report the case of a 72-year-old woman who presented with signs and symptoms of portal hypertension after a laparoscopic Nissen fundoplication. The diagnosis of a 37-mm SAVF was confirmed by a computed tomographic angiogram. The arteriovenous fistula was successfully treated with placement of a 20-mm Amplatz occlusion device. Surgical ligation and percutaneous embolization have been reported to be equally successful in managing SAVF. We present a review of the literature and report on a novel approach to this rare and challenging diagnosis.
authors.affiliation: Division of Vascular and Endovascular Surgery, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA. BidgoliMoghaddam.Mahsa@mayo.edu
authors.forename: Mahsa Bidgoli
authors.initials: MB
authors.lastname: Moghaddam
authors.forename: Manju
authors.initials: M
authors.lastname: Kalra
authors.forename: Haraldur
authors.initials: H
authors.lastname: Bjarnason
authors.forename: T J
authors.initials: TJ
authors.lastname: Vrtiska
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D057510:Endovascular Procedures / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D018662:Fundoplication / Q000009:adverse effects*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects*; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000293:injuries; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000293:injuries; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*