title: Iliocaval fistula presenting with paradoxical pulmonary embolism combined with high-output heart failure successfully treated by endovascular stent-graft repair: case report.
abstract: A 51-yr-old man presented exertional dyspnea as a consequence of iliocaval fistula combined with paradoxical pulmonary embolism and high-output heart failure. Endovascular stent-graft repair was performed to cover iliocaval fistula and restore the heart function. After the procedure, dyspnea was improved and procedure related complication was not seen. A 6-month follow-up computed tomography showed regression of pulmonary thromboembolism and well-positioned stent-graft without graft migration, aortacaval communication or endoleak. Stent graft implantation should be considered an alternative of open repair surgery for treament of abdominal arteriovenous fisula, especially in patient with high risk for surgery.
authors.affiliation: Cardiovascular Center and Division of Cardiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
authors.forename: Soo Jin
authors.initials: SJ
authors.lastname: Na
authors.affiliation: Cardiovascular Center and Division of Cardiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
authors.forename: Yoon-Seok
authors.initials: YS
authors.lastname: Koh
authors.affiliation: Cardiovascular Center and Division of Cardiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
authors.forename: Tae-Hoon
authors.initials: TH
authors.lastname: Kim
authors.affiliation: Divison of Vascular Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
authors.forename: Sun-Chul
authors.initials: SC
authors.lastname: Park
authors.affiliation: Cardiovascular Center and Division of Cardiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
authors.forename: Woo-Seung
authors.initials: WS
authors.lastname: Shin
authors.affiliation: Divison of Interventional Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
authors.forename: Ho-Jong
authors.initials: HJ
authors.lastname: Chun
authors.affiliation: Cardiovascular Center and Division of Cardiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
authors.forename: Jong-Min
authors.initials: JM
authors.lastname: Lee
mesh_terms: D004417:Dyspnea / Q000175:diagnosis; D057510:Endovascular Procedures; D005402:Fistula / Q000150:complications / Q000175:diagnosis*; D006333:Heart Failure / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007084:Iliac Vein; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed
keywords: Angioplasty; Arteriovenous Fistula; Pulmonary Embolism