Congestive heart failure and lower extremity edema as late sequelae of unrecognized iliac arteriovenous fistula
作者: M. Petrunić T. Meštrović Y. Lončarić J. Figl
刊名: Acta Chirurgica Croatica, 2016, Vol.13 (1)
来源数据库: The Croatian Society of Surgery of the Croatian Medical Association
关键词: case report
原始语种摘要: We report a case of a female patient with a large volume iliac arteriovenous fistula. She presented with severe congestive heart failure and unilateral leg edema. Six years before present admission she underwent surgery because of the lumbar disc protrusion. Diagnosis was delayed due to the overshadowing symptoms of co-existent aortic valve insufficiency. Contrast-enhanced multislice computed tomography with three-dimensional reconstruction confirmed the diagnosis. The fistula was closed by using an open surgical approach, and the patient completely recovered. Severe late consequences of unrecognized arteriovenous fistula are emphasized. Causes for delayed recognition of underlying pathology, as well as diagnostic and treatment options are discussed.
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  • iliac 骼的
  • arteriovenous 动静脉的
  • unrecognized 未被认出
  • extremity 极端
  • edema 浮肿
  • fistula 喙管
  • failure 破坏
  • heart 心脏
  • lumbar 腰的
  • insufficiency 机能不全