Recenzija, Prikaz slučaja

Congestive heart failure and lower extremity edema as late sequelae of unrecognized iliac arteriovenous fistula

Mladen Petrunić ; KBC Zagreb, Hrvatska
Tomislav Meštrović ; KBC Zagreb, Hrvatska
Yvonne Lončarić ; KBC Zagreb, Hrvatska
Josip Figl ; KBC Zagreb, Hrvatska

Sažetak

We report a case of a female patient with a large volume iliac arteriovenous fistula. She presented with severe congestive heart failure and unilateral leg edema. Six years before present admission she underwent surgery because of the lumbar disc protrusion. Diagnosis was delayed due to the overshadowing symptoms of co-existent aortic valve insufficiency. Contrast-enhanced multislice computed tomography with three-dimensional reconstruction confirmed the diagnosis. The fistula was closed by using an open surgical approach, and the patient completely recovered. Severe late consequences of unrecognized arteriovenous fistula are emphasized. Causes for delayed recognition of underlying pathology, as well as diagnostic and treatment options are discussed.

Ključne riječi

aortocaval and iliac; arteriovenous fistula; congestive heart failure; leg edema; spinal surgery

Hrčak ID:

175424

URI

https://hrcak.srce.hr/175424

Datum izdavanja:

15.12.2016.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.950 *