scholarly journals Unilateral Lower Extremity Edema and Lymphorrhea as Manifestations of a Ruptured Iliac Artery Aneurysm and Arteriovenous Fistula

2020 ◽  
Vol 26 (4) ◽  
pp. 216-219
Author(s):  
Shinsuke Nishimura ◽  
Takashi Murakami ◽  
Hiromichi Fujii ◽  
Yosuke Takahashi ◽  
Akimasa Morisaki ◽  
...  
2020 ◽  
Vol 54 (6) ◽  
pp. 519-524
Author(s):  
Muhammad Tipu Rishi ◽  
John Maijub ◽  
S. Keisin Wang ◽  
Andi Peshkepija ◽  
Justin King ◽  
...  

Iliac artery aneurysms can rarely present with rupture into adjacent iliac vein resulting in arteriovenous fistula leading to acute cardiac failure or multi-organ failure. End-organ damage can be reversed with timely diagnosis and intervention. Endovascular therapy is an attractive option to treat this pathology besides allowing for a quick recovery and mitigating the risk of mortality associated with open surgical treatment options. We report treatment of this pathology with Endovascular repair with preservation of ipsilateral hypogastric artery flow using an iliac branch graft device. The postoperative course was complicated by type 3 endoleak due to the separation of components between iliac branch graft and aortic stent graft with resultant recurrence of the fistula. Additional endovascular techniques, including placement of a venous stent and stent grafts to bridge the components, was used to treat the endoleak. We present this report due to the unique nature of the recurrent arteriovenous fistula, technical complexity, and resultant multi-organ dysfunction.


2018 ◽  
Vol 1 (1) ◽  
pp. 30-32
Author(s):  
Yogeesan Sivakumaran ◽  
Manar Khashram ◽  
Paul Charles Haggart

The formation of an ilio-iliac arteriovenous fistula is a potentially lethal complication of common iliac artery aneurysm presentations. Whilst trauma predominantly accounts for the majority, spontaneous rupture of a common iliac artery aneurysm into an adjacent venous structure accounts for a small subset of patients. Urgent surgical intervention is warranted with the aim to restore arterial continuity and ideally, closure of the fistula. This case study describes the endovascular management of a spontaneous ilio-iliac arteriovenous fistula following rupture of a common iliac artery aneurysm into an adjacent vein.


2012 ◽  
Vol 112 (2) ◽  
pp. 164-166 ◽  
Author(s):  
F. Vandereyken ◽  
V. Schwagten ◽  
M. Hertoghs ◽  
L. Beaucourt ◽  
O. D’Archambeau ◽  
...  

1998 ◽  
Vol 59 (9) ◽  
pp. 2416-2419
Author(s):  
Hiromi YANO ◽  
Mikihiko ITOU ◽  
Akira HAKOSHIMA ◽  
Yasuyuki FUJIWARA

Author(s):  
Dragan Piljic ◽  
Alen Hajdarevic ◽  
Dilista Piljic ◽  
Adnan Behrem ◽  
Mate Petricevic ◽  
...  

Background: Isolated iliac artery aneurysms are rare and occur predominantly in men at an older age. Such aneurysms can rupture into an adjacent organ (such as the bowel, bladder or ureter) or into the adjacent common iliac vein, resulting in an arteriovenous fistula. INTRODUCTION: Formation of an internal iliac arteriovenous fistula caused by spontaneous rupture of an atherosclerotic iliac artery aneurysm wall is an exceedingly rare yet serious complication. Methods / Results: This article presents a case of an internal iliac arteriovenous fistula caused by rupture of an atherosclerotic giant iliac artery aneurysm. Conclusion: Rapid diagnosis and meticulous surgical technique improve outcomes in patients with this rare vascular complication.


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