腰椎手术后髂动脉动静脉瘘。病例报告。

Iliac arteriovenous fistula following lumbar disc surgery. A case report.

机构信息

Faculty of medicine and pharmacy of Fez, Sidi Mohamed Ben Abdellah University Boite Postale 1893 - KM 2.200, route Sidi Harazem Fès, 30070 Morocco; Vascular surgery department, UHC Hassan II Fez, Morocco.

出版信息

J Med Vasc. 2022 Oct;47(4):199-202. doi: 10.1016/j.jdmv.2022.09.004. Epub 2022 Oct 23.

DOI:10.1016/j.jdmv.2022.09.004

PMID:36344032

Abstract

Iliac arteriovenous (AV) fistula after lumbar disc surgery are uncommon entities with limited reported cases. This report describes a 44-year-old man with history of L4-L5 spinal discectomy who complained of congestive heart failure symptoms four years later. Computed tomography angiography (CTA) revealed an AV fistula connecting the right common iliac artery and vein. AV closure with lateral suturing of common iliac artery and vein was performed through transperitoneal aorto-iliac approach. Postoperatively, the patient's symptoms of orthopnea resolved. Follow-up at six years was uneventful.

摘要

腰椎手术后髂动静脉（AV）瘘并不常见，已有报道的病例有限。本报告描述了一位 44 岁男性，有 L4-L5 脊柱椎间盘切除术病史，四年后出现充血性心力衰竭症状。计算机断层血管造影（CTA）显示 AV 瘘连接右髂总动脉和静脉。通过经腹腹主动脉-髂动脉入路进行髂总动脉和静脉外侧缝合以闭合 AV。术后，患者的呼吸困难症状得到缓解。六年随访无异常。