Endovascular treatment of an iatrogenic large vessel arteriovenous fistula presenting as high output heart failure: a case report.
Formation of an iatrogenic chronic large vessel arteriovenous (AV) fistula is an uncommon, early or late complication of spine surgery and associated with serious consequences. Its diagnosis is often delayed for months or years after the occurrence and rarely only after the patient develops heart failure secondary to a mature AV fistula. We present the case of a 43-year-old man with high-output heart failure due to an iatrogenic large vessel AV fistula after lumbar disc surgery successfully treated with the endovascular technique.
Department of Surgery, University of Ulsan College of Medicine and Gangneung Asan Hospital, Gangneung, Korea.
Ji-Hoon
JH
Kim
Gi-Young
GY
Ko
Tae-Won
TW
Kwon
Gi-Byoung
GB
Nam
Yong-Pil
YP
Cho
D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D016534:Cardiac Output, High / Q000209:etiology*; D017586:Diskectomy / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome