Cardiac consequence of misdiagnosed vascular complication of spinal lumbar surgery: 6 years of diagnosis delay
| Autor: | Youssef Jarmoune, Ayoub El Hammiri, Marouane Allouch, Rachida Habbal, Malika Noureddine, Sanaa Benhaourech |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Fistula Vascular complication 030204 cardiovascular system & hematology Chronic pericarditis Article 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Lumbar Lumbar surgery medicine cardiovascular diseases business.industry Diagnosis delay Ilio-caval fistula medicine.disease Surgery cardiovascular system Spinal surgery Right heart failure Presentation (obstetrics) Complication business Cardiology and Cardiovascular Medicine |
| Zdroj: | Journal of Cardiology Cases. 13(1):6-8 |
| ISSN: | 1878-5409 |
| DOI: | 10.1016/j.jccase.2015.08.014 |
| Popis: | Ilio-caval fistula is a rare complication of lumbar disk surgery that may pose a real diagnostic challenge. We report a case of a 50-year-old woman with overlooked massive right ilio-caval fistula complicating lumbar surgery 6 years previously, and who presented with refractory right heart failure misdiagnosed as chronic pericarditis. The combination of right heart failure and a periumbilical murmur should alert clinicians to investigate with the appropriate imaging tests to confirm the diagnosis. Learning objective: Ilio-caval fistula is a rare vascular complication of low lumbar disk surgery often overlooked, which explains the frequency of late discovery cases due to the semiological polymorphism of the presentation. The combination of right heart failure and a periumbilical murmur should alert clinicians to investigate with the appropriate imaging tests to confirm the diagnosis. The treatment could be based on surgery or endovascular intervention; the prognosis remains good in treated patients.> |
| Databáze: | OpenAIRE |
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