Korean J Thorac Cardiovasc Surg.  2007 Jun;40(6):455-458.

Surgical Treatment for Common Iliac Arteriovenous Fistula after Lumbar Laminectomy

• Ryu KM
• Ryu JW
• Park SS
• Kim SK
• Seo PW

Abstract

A 40 year-old male patient admitted for dyspnea and edema of the lower extremities. A pulsatile abdominal mass with a bruit was palpable in the right lower quadrant. Four months previously, he had underwent left partial laminectomy (L4~5) and discectomy at the L4 level due to disc protrusion. Computed tomography showed an ilio-iliac AV fistula with pseudoaneurysm at the L5 level. Because massive bleeding occurred when the aneurysm was entered, we closed the aneurysm and performed resection and suture of the aorta and both iliac arteries very near the aneurysm. After exclusion of the arterial side, we performed reduction angioplasty at the aneurysm and aorto-biiliac reconstruction with an artificial graft. Twenty-four months after operation, he is doing well and hasn't had any complications on the follow-up.

Keyword

Fistula; Surgery, vessel; Iliac artery

MeSH Terms

Adult
Aneurysm
Aneurysm, False
Angioplasty
Aorta
Arteriovenous Fistula*
Diskectomy
Dyspnea
Edema
Fistula
Follow-Up Studies
Hemorrhage
Humans
Iliac Artery
Laminectomy*
Lower Extremity
Male
Sutures
Transplants