Connection Between a Long-standing Traumatic Arteriovenous Fistula and Development of Aneurysmal Disease

Puppinck, P; Chevalier, Jacques; Ducasse, Éric; Smith, Michelle J.; Warembourg, A; Coco, B.; Dasnoy, D.; Ravignau, D. de la Croix de; McIrvine, Andrew

doi:10.1007/s10016-004-0091-9

Cited by 13 publications

(12 citation statements)

References 12 publications

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“…7,8 When well advanced, aneurysmal expansion may limit or complicate standard endovascular approaches that have focused on endoluminal grafting of the arterial segment. In this patient the left iliac arterial system proximal to the fistula had reached a diameter equal to the abdominal aorta.…”

Section: Discussionmentioning

confidence: 99%

Endovascular management of a large post-traumatic iliac arteriovenous fistula: Utilization of a septal occlusion device

Anderson

Strumpf

Diethrich

2008

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

Endovascular management of a large post-traumatic iliac arteriovenous fistula: Utilization of a septal occlusion device

Anderson

Strumpf

Diethrich

2008

Journal of Vascular Surgery

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“…The release of vasodilating mediators, including endothelial-derived relaxing factor, is also thought to play a role in this arterial degeneration. 6 Unlike the changes in cardiac function, the proximal arteries in AVFs are at constant risk of aneurysmal degeneration after AVF closure. This ongoing risk is greater in pa- tients whose AVFs have been patent for a long time.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9] Furthermore, there may be proximal dilatation up to the aorta and even in discontinuous arteries. 6 This ongoing phenomenon of arterial dilatation puts the patient at risk of embolic events and rupture and must be surveyed postoperatively. Given these dangers, some investigators advocate exclusion and bypass of the dilated segments.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of a Traumatic Arteriovenous Fistula 34 Years After the Injury: Report of a Case

et al. 2006

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Penetrating extremity injuries can result in the development of arteriovenous fistulas (AVFs), whereby normal blood flow through the capillary bed is bypassed. Late complications of untreated AVFs include proximal arterial dilatation, venous congestion, congestive heart failure, and distal ischemia. We report the case of a 57-year-old man who was referred to us for treatment of a traumatic AVF with multiple sequelae, 34 years after he sustained a shrapnel injury to his right lower leg. We performed successful endovascular repair of this AVF with the patient under spinal anesthesia. Computed tomographic angiography (CTA) done 1 month and 6 months later confirmed AVF exclusion. Patients may present with sequelae of traumatic AVFs many years after their initial injury. Endovascular repair of AVFs offers several advantages over conventional repair and can be performed successfully even in the presence of complex anatomic abnormalities.

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“…Left unchecked, large-vessel arteriovenous fistulas can result in high-output congestive heart failure, and aneurysmal degeneration of the involved arterial and venous segments may also occur [6,7]. Cardiac decompensation occurs in about 75% of patients due to shunting of blood from a high-resistance arterial circuit to a low-resistance venous system.…”

Section: Discussionmentioning

confidence: 99%

Chronic Ilio-Caval Fistula Presenting 23 years later as Congestive Heart Failure and Atrial Fibrillation

Gerges¹,

Abou-Jaoudeh²,

Feghali³

2016

JCR

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Abstract:Chronic aortocaval fistula (ACF) is a rare complication of gunshot wounds to the abdomen, and poses a difficult problem to diagnose. It's also known as bursting heart syndrome. We report a 43 years old man diagnosed with ilio-caval fistula secondary to bullet abdominal injury 23 years ago. The diagnosis was delayed, hence his symptoms at presentation were due to high output heart failure. An endovascular technique was done successfully. Chronic aortocaval fistula (ACF) is an infrequently reported sequel of trauma and CHF in a young male patient. History of penetrating abdominal trauma should alert the surgeon to this rare complication. To note that most of these cases have been repaired via open approach.

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Connection Between a Long-standing Traumatic Arteriovenous Fistula and Development of Aneurysmal Disease

Cited by 13 publications

References 12 publications

Endovascular management of a large post-traumatic iliac arteriovenous fistula: Utilization of a septal occlusion device

Endovascular management of a large post-traumatic iliac arteriovenous fistula: Utilization of a septal occlusion device

Endovascular Repair of a Traumatic Arteriovenous Fistula 34 Years After the Injury: Report of a Case

Chronic Ilio-Caval Fistula Presenting 23 years later as Congestive Heart Failure and Atrial Fibrillation

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