Spontaneous inferior mesenteric arteriovenous fistula as a cause of severe portal hypertension and cardiomyopathy
| Autor: | Muhammad Ali Rana, Adam Delu, John Marek, Jaideep Das Gupta, Sundeep Guliani, Mark Langsfeld |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Mesenteric arteriovenous fistula lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment Fistula Cardiomyopathy lcsh:Surgery 030204 cardiovascular system & hematology Inferior mesenteric artery 030218 nuclear medicine & medical imaging 03 medical and health sciences Embolization 0302 clinical medicine Internal medicine medicine.artery Case report medicine Portal hypertension Inferior mesenteric vein Arteriovenous fistula and malformation business.industry Arterial Embolization Amplatzer lcsh:RD1-811 medicine.disease lcsh:RC666-701 Cardiology Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Vascular Surgery Cases and Innovative Techniques, Vol 5, Iss 2, Pp 113-116 (2019) Journal of Vascular Surgery Cases and Innovative Techniques |
| ISSN: | 2468-4287 |
| Popis: | Inferior mesenteric artery (IMA) and inferior mesenteric vein (IMV) fistulas or malformations are extremely rare, with only 36 cases reported. Low incidence and nonspecific clinical signs and symptoms make mesenteric arteriovenous fistulas difficult to diagnose. We describe a case of a primary IMA-IMV fistula. Our patient presented with severe portal hypertension and cardiomyopathy along with robust arteriovenous connections between the IMA and IMV. Arterial embolization in this patient had to be followed by venous embolization for successful resolution of portal hypertension and cardiomyopathy. This case also highlights that close outpatient monitoring for treatment failure and recurrence is necessary for this disease process. Keywords: Inferior mesenteric artery, Inferior mesenteric vein, Arteriovenous fistula and malformation, Amplatzer, Embolization, Portal hypertension |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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