Iliocaval Fistula Presenting with Paradoxical Pulmonary Embolism Combined with High-Output Heart Failure Successfully Treated by Endovascular Stent-Graft Repair: Case Report
Autor: | Sun-Chul Park, Ho-Jong Chun, Yoon-Seok Koh, Jongmin Lee, Soo Jin Na, Tae-Hoon Kim, Woo-Seung Shin |
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Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty Fistula Cardiovascular Disorders medicine.medical_treatment Arteriovenous fistula Case Report Iliac Vein Angioplasty medicine Humans High-output heart failure Heart Failure business.industry Endovascular Procedures Stent General Medicine Middle Aged medicine.disease Surgery Pulmonary embolism Dyspnea surgical procedures operative Heart failure Arteriovenous Fistula Stents Radiology Pulmonary Embolism Tomography X-Ray Computed Complication business |
Zdroj: | Journal of Korean Medical Science |
ISSN: | 1598-6357 1011-8934 |
DOI: | 10.3346/jkms.2014.29.2.296 |
Popis: | A 51-yr-old man presented exertional dyspnea as a consequence of iliocaval fistula combined with paradoxical pulmonary embolism and high-output heart failure. Endovascular stent-graft repair was performed to cover iliocaval fistula and restore the heart function. After the procedure, dyspnea was improved and procedure related complication was not seen. A 6-month follow-up computed tomography showed regression of pulmonary thromboembolism and well-positioned stent-graft without graft migration, aortacaval communication or endoleak. Stent graft implantation should be considered an alternative of open repair surgery for treament of abdominal arteriovenous fisula, especially in patient with high risk for surgery. |
Databáze: | OpenAIRE |
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