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Korean J Thorac Cardiovasc Surg 2007; 40(6): 455-458
Published online June 5, 2007
Copyright © Journal of Chest Surgery.
Kyoung Min Ryu, M.D.*, Jae-Wook Ryu, M.D.*, Seong-Sik Park, M.D.*, Seok Kon Kim, M.D.**, Pil-Won Seo, M.D.*
Departments of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine, Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A 40 year-old male patient admitted for dyspnea and edema of the lower extremities. A pulsatile abdominal mass with a bruit was palpable in the right lower quadrant. Four months previously, he had underwent left partial laminectomy (L4∼5) and discectomy at the L4 level due to disc protrusion. Computed tomography showed an ilio-iliac AV fistula with pseudoaneurysm at the L5 level. Because massive bleeding occurred when the aneurysm was entered, we closed the aneurysm and performed resection and suture of the aorta and both iliac arteries very near the aneurysm. After exclusion of the arterial side, we performed reduction angioplasty at the aneurysm and aorto-biiliac reconstruction with an artificial graft. Twenty-four months after operation, he is doing well and hasn't had any complications on the follow-up.
Keywords: Fistula, Surgery, vessel, Iliac artery
Korean J Thorac Cardiovasc Surg 2007; 40(6): 455-458
Published online June 5, 2007
Copyright © Journal of Chest Surgery.
Kyoung Min Ryu, M.D.*, Jae-Wook Ryu, M.D.*, Seong-Sik Park, M.D.*, Seok Kon Kim, M.D.**, Pil-Won Seo, M.D.*
Departments of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine, Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A 40 year-old male patient admitted for dyspnea and edema of the lower extremities. A pulsatile abdominal mass with a bruit was palpable in the right lower quadrant. Four months previously, he had underwent left partial laminectomy (L4∼5) and discectomy at the L4 level due to disc protrusion. Computed tomography showed an ilio-iliac AV fistula with pseudoaneurysm at the L5 level. Because massive bleeding occurred when the aneurysm was entered, we closed the aneurysm and performed resection and suture of the aorta and both iliac arteries very near the aneurysm. After exclusion of the arterial side, we performed reduction angioplasty at the aneurysm and aorto-biiliac reconstruction with an artificial graft. Twenty-four months after operation, he is doing well and hasn't had any complications on the follow-up.
Keywords: Fistula, Surgery, vessel, Iliac artery
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