Fístula arteriovenosa ilíaca à direita por rotura de aneurisma e aneurisma de artéria ilíaca esquerda: tratamento híbrido
Right iliac arteriovenous fistula due to aneurysm rupture and left iliac artery aneurysm: hybrid treatment
Adalberto Pereira de Araujo; Cristiane Ferreira de Araujo Gomes; Douglas Poschinger-Figueiredo; Carlos Felipe da Silva Delgado; Monica Rochedo Mayall; Flavia Figueira Baltharejo Campanario; Felipe Borges Fagundes
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Abstract
An arteriovenous fistula (AVF) is an uncommon sequela of spontaneous arterial aneurysm rupture into the adjacent venous system. We describe the case of a 74-year-old patient who underwent endovascular treatment of a right iliac AVF caused by a ruptured common iliac artery (CIA) aneurysm and a distal left CIA aneurysm. Surgery preserved the lumbar and inferior mesenteric arteries because of the need to simultaneously exclude the hypogastric arteries. Dynamic fluid balance phenomena provoked by closure of the AVF are described. The patient had a benign postoperative course with normalization of the severe hemodynamic changes presented prior to the intervention and resolution of respiratory symptoms attributed to pulmonary arterial hypertension.
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Referências
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Submetido em:
09/03/2022
Aceito em:
30/06/2022
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