title: Percutaneous closure of a large iatrogenic fistula between the inferior vena cava and the pulmonary vein in a child.
abstract: We hereby describe a complex late postoperative veno-venous fistula in a child, successfully treated by an interventional percutaneous procedure. It is a unique complication of diaphragmatic hernia surgery that has never been reported before: a late postoperative iatrogenic fistula, between the inferior vena cava and the right lower pulmonary vein, discovered in a 6-year-old boy operated at the age of 4 months for a right diaphragmatic hernia. The right to left shunt was completely and uneventfully suppressed by a percutaneous procedure separating the systemic venous return from the pulmonary venous return with an Amplatzer Vascular Plug II.
authors.affiliation: Hotel-Dieu de France Hospital, Pediatric Cardiology and Cardiac Surgery, Saint Joseph University, Naccache Boulevard, Achrafieh, Beirut, Lebanon.
authors.forename: Zakhia
authors.initials: Z
authors.lastname: Saliba
authors.forename: Issam
authors.initials: I
authors.lastname: El-Rassi
authors.forename: Tarek
authors.initials: T
authors.lastname: Smayra
mesh_terms: D021721:Balloon Occlusion; D002648:Child; D057510:Endovascular Procedures / Q000295:instrumentation; D006439:Hemodynamics; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D010690:Phlebography / Q000379:methods; D011652:Pulmonary Circulation; D011667:Pulmonary Veins / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology