Successful Management of a Giant Arteriovenous Fistula with a Combination of Selective Embolization and Excision: Report of a Case.

Autor: Sakurai, Hiroyuki, Nozaki, Motohiro, Sasaki, Kenji, Yamaki, Takasi, Aiba, Hinako, Tohda, Joh, Umezu, Shoichi
Zdroj: Surgery Today; Feb2002, Vol. 32 Issue 2, p189-193, 5p
Abstrakt: We experienced a female patient with a giant arteriovenous fistula in her lumbar region, which was successfully managed by a combination of selective embolization and a subsequent total excision. Embolization of the giant arteriovenous malformation resulted in an immediate decrease in the cardiac output and an increase in systemic vascular resistance. Three days after the embolization, a total resection of the lesion was achieved under general anesthesia, with a minimum amount of blood loss. The large skin defect after a total excision of the cutaneous lesion was covered with bilateral latissimus dorsi musculocutaneous flaps. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index