Posttraumatic iliac arteriovenous fistula

Anıl Z. Apaydın¹, Mustafa Parıldar², Hakan Posacıoğlu¹, Mustafa Korkut³, Erman Pektok¹

¹Departments of Cardiovascular Surgery, Medicine Faculty of Ege University, İzmir
²Departments of Radiology, Medicine Faculty of Ege University, İzmir
³Departments of General Surgery,Medicine Faculty of Ege University, İzmir

A 41-year-old male with a large arteriovenous fistula (AVF) of the left iliac vessels was referred to our clinic. Patient had a gunshot wound to the abdomen 10 years ago and underwent colostomia and repairment of the left iliac vein. The patient had been on oral anticoagulant therapy since he underwent aortic valve replacement 5 years ago. Covered endovascular stent grafts could not be used due to big size discrepancy between the common and external iliac arteries. Simple embolization with a detachable balloon system and placement of a stent to stabilize the balloon resulted with failure. AVF was closed surgically. Although endovascular approaches offer great advantages for the treatment of complex vascular pathologies, surgery remains the ultimate solution as in this case.

Keywords : Arteriovenous shunt, surgical; iliac artery/surgery; iliac vein/surgery

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