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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2011

Open Access 01-12-2011 | Case report

Hybrid management of a spontaneous ilio-iliac arteriovenous fistula: a case report

Authors: Gavin C O'Brien, Colm Murphy, Zenia Martin, Naseem Haider, Mary P Colgan, Dermot Moore, Prakash Madhavan, Sean M O'Neill

Published in: Journal of Medical Case Reports | Issue 1/2011

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Abstract

Introduction

Spontaneous iliac arteriovenous fistulae are a rare clinical entity. Such localized fistulation is usually a result of penetrating traumatic or iatrogenic injury. Clinical presentation can vary greatly but commonly includes back pain, high-output congestive cardiac failure and the presence of an abdominal bruit. Diagnosis, therefore, is often incidental or delayed.

Case presentation

We report a case of a spontaneous ilio-iliac arteriovenous fistula in a 68-year-old Caucasian man detected following presentation with unilateral claudication and congestive cardiac failure. Following computed tomography evaluation, the fistula was successfully treated with a combined endovascular (aorto-uni-iliac device) and open (femoro-femoral crossover) approach.

Conclusion

Endovascular surgery has revolutionized the management of such fistulae and we report an interesting case of a high-output iliac arteriovenous fistulae successfully treated with a hybrid vascular approach.
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Metadata
Title
Hybrid management of a spontaneous ilio-iliac arteriovenous fistula: a case report
Authors
Gavin C O'Brien
Colm Murphy
Zenia Martin
Naseem Haider
Mary P Colgan
Dermot Moore
Prakash Madhavan
Sean M O'Neill
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-5-401

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