Traumatic arteriovenous fistula with serious haemodynamic repercussions: endovascular treatment.

Autor:	Raymundo SRO; Cardiologia e Cirurgia Cardiovascular, Faculdade de Medicina de São José do Rio Preto, Sao Jose do Rio Preto, SP, Brazil selma_ray@terra.com.br., Leite RLT; Cardiologia e Cirurgia Cardiovascular, Faculdade de Medicina de São José do Rio Preto, Sao Jose do Rio Preto, SP, Brazil., Reis LF; Serviço de Angiologia e Cirurgia Endovascular, Hospital de Base, Sao Jose do Rio Preto, SP, Brazil., Russeff GJDS; Serviço de Angiologia e Cirurgia Endovascular, Hospital de Base, Sao Jose do Rio Preto, SP, Brazil.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2020 Apr 27; Vol. 13 (4). Date of Electronic Publication: 2020 Apr 27.
DOI:	10.1136/bcr-2019-234220
Abstrakt:	Major abdominal arteriovenous fistula (AVF) is a rare clinical condition defined as an abnormal communication between the aorta or iliac arteries and the inferior vena cava or the iliac or renal veins. Penetrating trauma, including iatrogenic injuries, accounts for less than 20% of these AVFs. Endovascular techniques were useful in the management of vascular lesions. The authors report the case of a patient with high-output heart failure and high-flow AVF between the left external iliac artery and the left external iliac vein manifested 17 years after a gunshot wound. Endovascular approach was satisfactorily performed with the implantation of a septal occlusion device to interrupt abnormal vascular communication and preserve artery and vein patency. There were improvement of symptoms and control images showed arteriovenous communication closure. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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