Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/jvb.2013.032
Jornal Vascular Brasileiro
Case report

Endovascular repair of traumatic external iliac vessel pseudoaneurysm and arteriovenous fistulae

Juan Marin; Beatriz Retamales; Camila Onetto; Enrique Ceroni; Cristian Marin

Downloads: 0
Views: 841

Abstract

A 17-year-old male patient presenting with an abdominal gunshot wound and severe hypovolemic shock was initially operated and presented several injuries to the small bowel and cecum associated with severe hemorrhage. The patient had to be operated twice due to hypothermia, acidosis, and coagulopathy. In the late postoperative period, murmur and fremitus were observed. Angiography revealed a pseudoaneurysm associated with arteriovenous fistulae at the left external iliac vessels. Lesions were repaired with a stent graft placed in the external iliac artery, with a satisfactory outcome. Control computed tomography performed 6 months later evidenced artery integrity with closure of the fistulae. Endovascular therapy should be the preferred method in this type of vascular trauma complications.

Keywords

iliac vessels, trauma, pseudoaneurysm, arteriovenous fistulae

References

Ascencio J, Petrone P, Roldán G. Analysis of 185 Iliac Vessel Injuries Risk Factors and Predictors of Outcome. Arch Surg. ;138:1187-194.

Brewster D, Cambria R, Moncure A. Aortocaval and iliac arteriovenous fistulas: Recognition and treatment. J Vasc Surg. ;13:253-65.

Antoniou G, Koutsias S, Karathanos Ch, Sfyroeras GS, Vretzakis G, Giannoukas AD. Endovascular Stentgraft repair of mayor abdominal arteriovenous fistula: A systematic review. J Endovasc Ther. ;16:514-23.

Perry M. Complications of missed arterial injuries. J Vasc Surg. ;17:399-407.

Hart J, Wallis F, Kenny B, O'Sullivan B, Burke PE, Grace PA. Endovascular exclusion of iliac artery to iliac vein fistula after lumbar disk surgery. Case Report. J Vasc Surg. ;37:1091-093.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5dded0320e8825a6497279a2 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections