ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Posttraumatic iliac arteriovenous fistula
Anıl Z. Apaydın 1, Mustafa Parıldar 2, Hakan Posacıoğlu 1, Mustafa Korkut 3, 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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