tailieunhanh - báo cáo khoa học: "Hybrid management of a spontaneous ilio-iliac arteriovenous fistula: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Hybrid management of a spontaneous ilio-iliac arteriovenous fistula: a case report | O Brien et al. Journal of Medical Case Reports 2011 5 401 http content 5 1 401 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Hybrid management of a spontaneous ilio-iliac arteriovenous fistula a case report Gavin C O Brien Colm Murphy Zenia Martin Naseem Haider Mary P Colgan Dermot Moore Prakash Madhavan and Sean M O Neill Abstract Introduction Spontaneous iliac arteriovenous fistulae are a rare clinical entity. Such localized fistulation is usually a result of penetrating traumatic or iatrogenic injury. Clinical presentation can vary greatly but commonly includes back pain high-output congestive cardiac failure and the presence of an abdominal bruit. Diagnosis therefore is often incidental or delayed. Case presentation We report a case of a spontaneous ilio-iliac arteriovenous fistula in a 68-year-old Caucasian man detected following presentation with unilateral claudication and congestive cardiac failure. Following computed tomography evaluation the fistula was successfully treated with a combined endovascular aorto-uni-iliac device and open femoro-femoral crossover approach. Conclusion Endovascular surgery has revolutionized the management of such fistulae and we report an interesting case of a high-output iliac arteriovenous fistulae successfully treated with a hybrid vascular approach. Introduction Spontaneous iliac arteriovenous fistulae AVF are a rare clinical entity. Such localized fistulation is usually a result of penetrating traumatic or iatrogenic injury 1 . Clinical presentation can vary greatly but commonly includes back pain high-output congestive cardiac failure CCF and the presence of an abdominal bruit. Diagnosis therefore is often incidental or delayed 2 . Case presentation A 68-year-old Caucasian man was referred to our outpatients clinic following the incidental discovery of a 6 X 8 cm distended iliac vessel whilst having an ultrasound for surveillance of liver cirrhosis. His clinical history revealed a .

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