Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/jvb.2014.007
Jornal Vascular Brasileiro
Therapeutic Challenge

Treatment of acquired arteriovenous fistula with severe hemodynamic effects: therapeutic challenge

Tratamento de fístula arteriovenosa adquirida com repercussões hemodinâmicas graves: desafio terapêutico

Bruna Ferreira Pilan; Andréia Marques de Oliveira; Daniel Emílio Dalledone Siqueira; Ana Terezinha Guillaumon

http://dx.doi.org/10.1590/jvb.2014.007 J Vasc Bras, vol.13, n1, p.34-38, 2014
PDF English
PDF Português
SciELO
Downloads: 1
Views: 839

Abstract

A 34-year-old female patient with severe heart failure and pulmonary hypertension was diagnosed late with a high-output acquired arteriovenous fistula between the right common iliac vein and artery. The most probable cause was an iatrogenic vascular injury inflicted during a prior laparoscopic cholecystectomy. Treatment was conducted by placement of an endoprosthesis in the common iliac artery, achieving total exclusion of the fistula and complete remission of symptoms. Considering the options available for treating this type of lesion, endovascular techniques are becoming ever more effective and are now the option of first-choice for management of this pathology.

Keywords

arteriovenous fistula, endoprothesis, heart failure

Resumo

Paciente de 34 anos com quadro de insuficiência cardíaca e hipertensão pulmonar severas, com diagnóstico tardio de fístula arteriovenosa adquirida de alto débito entre a veia e a artéria ilíaca comum direita. A provável causa foi relacionada à lesão vascular iatrogênica em colecistectomia laparoscópica realizada previamente. O tratamento foi realizado com endoprótese em artéria ilíaca comum, resultando em exclusão total da fístula e remissão completa dos sintomas. Considerando-se as opções de tratamento para esse tipo de lesão, a técnica endovascular tem se mostrado cada vez mais eficaz e tem se tornado a primeira opção no manejo dessa patologia.

Palavras-chave

fístula arteriovenosa, endoprótese, insuficiência cardíaca

References

Pinto DM, Bez LG, Dias JO, Lopes CS, Mandi A. Iliac aneurysm associated with arteriovenous fistula. J Vasc Bras.. 2007;6(3):299-302.

Davis P, Gloviczki P, Cherry K. Aorto-caval and ilio-iliac arteriovenous fistulae. Am J Surg. 1998;176:115-8.

Queiroz AB, Mulatti GC, Aun R, Valentim LA, Puech-Leão P. Endovascular repair of a traumatic arteriovenous fistula involving the iliac bifurcation using an iliac branch device. J Vasc Surg. 2012;55(5):1474-6.

Kuehnl A, Zimmermann A, Pongratz J, Eckstein HH. Young girl presenting with heart failure 5 years after laparoscopic appendectomy. Case report of an ilio-iliac AV fistula. Eur J Vasc Endovasc Surg. 2010;40(1):107-9.

Sexton JA, Ricotta JJ. Endovascular approaches to arteriovenous fistula. Adv Surg. 2011;45:83-100.

Weng CF, Wei J, Lee YT. High-output Heart Failure Resulting from an Obscure Traumatic Arteriovenous Fistula. J Chin Med Assoc. 2008;71(8):428-30.

Wang EA, Lee MH, Wang MC, Lee HY. Iatrogenic left iliac-caval fistula: imaging and endovascular treatment. AJR Am J Roentgenol. 2004;183(4):1032-4.

Chaudry M, Flinn WR, Kim K, Neschis DG. Traumatic arteriovenous fistula 52 years after injury. J Vasc Surg.. 2010;51(5):1265-7.

Brewster D, Cambria R, Moncure A. Aortocaval and iliac arteriovenous fistulas: recognition and treatment. J Vasc Surg. 1991;13:253-64.

Cronin B, Kane J, Lee W, Shriki J, Weaver FA. Repair of a high-flow iliac arteriovenous fistula using a thoracic endograft. J Vasc Surg. 2009;49(3):767-70.

Yared K, Baggish AL, Wood MJ. High-output heart failure resulting from a remote traumatic arteriovenous fistula. Can J Cardiol.. 2009;25(4):e143-4.

Parodi J, Barone H. Transluminal treatment of abdominal aortic aneurysms and peripheral arteriovenous fistulas. Proceedings of the 19th Annual Montefiore Medical Center Symposium on Current Critical Problems and New Techniques in Vascular Surgery. 1992.

Sanchez L, Veith F, Ohki T. Early experience with the Corvita endoluminal graft for the treatment of arterial injuries. Ann Vasc Surg. 1999;13:151-7.

Marin M, Veith F, Panetta T. Transluminally placed endovascular stented graft repair for arterial trauma. J Vasc Surg. 1994;20:466-72.

McCarter D, Johnstone R, McInnes G, Reid D, Pollock J, Reid A. Iliacarteriovenous fistula following lumbar disc surgery treated by percutaneousendoluminal stent grafting. Br J Surg. 1996;83:796-7.

Zajko A, Little A, Steed D, Curtiss E. Endovascular stent-graft repair of common iliac artery-to-inferior vena cava fistula. J Vasc Intervent Radiol. 1995;6:803-6.

McLaughlin VV, McGoon MD. Pulmonary arterial hypertension. Circulation. 2006;114(13):1417-31.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd89a70e8825a6571da3e9 jvb Articles
1677-7301 (Electronic)
J Vasc Bras ©2024 All rights reserved.

J Vasc Bras

Share this page
Page Sections