Right iliac arteriovenous fistula due to aneurysm rupture and left iliac artery aneurysm: hybrid treatment. 2023

Adalberto Pereira de Araujo, and Cristiane Ferreira de Araujo Gomes, and Douglas Poschinger-Figueiredo, and Carlos Felipe da Silva Delgado, and Monica Rochedo Mayall, and Flavia Figueira Baltharejo Campanario, and Felipe Borges Fagundes
Centro Angiocardiológico, Rio de Janeiro, RJ, Brasil.

An arteriovenous fistula (AVF) is an uncommon sequela of spontaneous arterial aneurysm rupture into the adjacent venous system. We describe the case of a 74-year-old patient who underwent endovascular treatment of a right iliac AVF caused by a ruptured common iliac artery (CIA) aneurysm and a distal left CIA aneurysm. Surgery preserved the lumbar and inferior mesenteric arteries because of the need to simultaneously exclude the hypogastric arteries. Dynamic fluid balance phenomena provoked by closure of the AVF are described. The patient had a benign postoperative course with normalization of the severe hemodynamic changes presented prior to the intervention and resolution of respiratory symptoms attributed to pulmonary arterial hypertension.

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