| 篇名 |
Iliac Arteriovenous Fistula after Lumbar Discectomy:Report of a Case |
| 作者 |
Tai-Tzung Kuo, Cheng-Neng Chen, Jiun-Yi Li, Cheng-Kuei Chang |
| 卷期/出版年月 |
38卷5期 (2005/10) |
| 頁次 |
242-245 |
| 摘要 |
Arteriovenous fistula (AVF) is an unusual complication of lumbar disc surgery. The
clinical manifestations of AVF include swelling of the legs, abdominal pain and intermittent
claudication and heart failure with a continuous murmur in the lower part of
the abdomen. The diagnosis is often late and the condition erroneously treated as
deep venous thrombosis due to leg swelling. We report a 29-year-old male who
developed high-output congestive heart failure due to bilateral iliac AVF following
lumbar disc surgery and subsequent resolution of heart failure by corrective surgery.
Review of the medical literature reveals that this complication is very rare, although
it must be considered if a similar presentation is seen. After confirmation of fistula
location, treatment consists of fistula closure |
| 關鍵詞 |
Arteriovenous fistula, lumbar disc surgery, high-output congestive heart failure |
| 分類 |
Case Report |
