Ultrasonographic Demonstration of a Postsurgical Arteriovenous Fistula

Cr, Phelps; Parker, Michael H.; Wolfman, Neil T.; Th, Hunt; Jl, Scherer

doi:10.1097/00007611-198102000-00030

Cited by 4 publications

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“…Other reported features not present in our patient include rectal bleeding and haematuria, possibly resulting from venous hypertension rupturing rectal and bladder vessels, 1 and renal insufficiency because of elevated renal venous pressure and decreased mean arterial pressure leading to reduced renal blood flow. 11 Arteriovenous fistulas are generally confirmed by flush aortography although less invasive means of evaluation have been used such as Doppler ultrasonography, 12 dynamic computerized tomography 13 and magnetic resonance imaging. 14 Surgical repair is regarded as the treatment of choice, and the prognosis after operation is excellent, especially in those with a traumatic fistula, who tend to be younger and have less advanced arteriosclerotic disease than those with spontaneous arteriovenous fistulas associated with aneurysmal vessels.…”

Section: Discussionmentioning

confidence: 92%

Cardiac failure due to internal iliac arteriovenous fistula after laparoscopically assisted vaginal hysterectomy

et al. 1997

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We report the case of a 32‐year‐old woman who presented 18 months after a laparoscopically assisted vaginal hysterectomy (LAVH) with symptoms of high‐output cardiac failure due to an internal iliac arteriovenous fistula. This was diagnosed by the presence of classical physical signs and confirmed by flush aortography. The fistula was obliterated at open surgery. We discuss this rare complication and the role of LAVH compared with open hysterectomy

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Section: Discussionmentioning

confidence: 92%

Cardiac failure due to internal iliac arteriovenous fistula after laparoscopically assisted vaginal hysterectomy

et al. 1997

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Postnephrectomy pseudoaneurysm with arteriovenous fistula

et al. 1988

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Spontaneous common iliac arteriovenous fistula manifested by acute renal failure: A case report

Gregorič

Jacobs

Reul

et al. 1991

Journal of Vascular Surgery

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Arteriovenous fistulas between the common iliac vessels resulting from spontaneous rupture of aneurysms are rare, with only 31 cases having been reported since 1971. Clinical diagnosis is possible when a unique set of findings is present, namely high-output cardiac failure, a pulsatile abdominal mass associated with a bruit or thrill, and unilateral arterial insufficiency or venous engorgement. Recently, with advancements in diagnostic techniques, the number of cases in which an arteriovenous fistula is found between the common iliac vessels has increased. Diagnosis can be difficult, however, as in the case of one of our patients in whom the predominant sign was acute renal failure. Other reports of renal failure or impairment in the presence of a common iliac fistula have also appeared. Awareness of this phenomenon can help the physician to establish the diagnosis when one or more of the classic signs are absent. Prompt diagnosis and surgical management have contributed to the high incidence of survival in patients with arteriovenous fistulas between the common iliac vessels.

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Ultrasonographic Demonstration of a Postsurgical Arteriovenous Fistula

Cited by 4 publications

References 0 publications

Cardiac failure due to internal iliac arteriovenous fistula after laparoscopically assisted vaginal hysterectomy

Cardiac failure due to internal iliac arteriovenous fistula after laparoscopically assisted vaginal hysterectomy

Postnephrectomy pseudoaneurysm with arteriovenous fistula

Spontaneous common iliac arteriovenous fistula manifested by acute renal failure: A case report

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