title: Endovascular repair of a spontaneous ilio-iliac fistula presenting as pulmonary embolism.
abstract: Spontaneous rupture of a common iliac artery aneurysm into the common iliac vein is a rare phenomenon. We report the case of a 68 year old man admitted with acute cardiac failure and massive pulmonary embolism as a complication of a spontaneous ilio-iliac fistula, secondary to aneurysmal rupture. The aneurysm was successfully excluded using an aorto-uni-iliac stent graft. No complications were noted at 9 months follow-up. Arteriovenous fistulae should be considered in patients with aortic or iliac aneurysms who develop a pulmonary embolism or symptoms of venous congestion. Endovascular repair of these pathologies is a feasible therapeutic option; however long term results remain unknown.
authors.affiliation: George Eliot Hospital, Nuneaton, United Kingdom.
authors.forename: N
authors.initials: N
authors.lastname: Melas
authors.forename: A
authors.initials: A
authors.lastname: Saratzis
authors.forename: A
authors.initials: A
authors.lastname: Abbas
authors.forename: K
authors.initials: K
authors.lastname: Sarris
authors.forename: N
authors.initials: N
authors.lastname: Saratzis
authors.forename: I
authors.initials: I
authors.lastname: Lazaridis
authors.forename: D
authors.initials: D
authors.lastname: Kiskinis
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome