Vranešić Irena Ivanac, Rotkvić Petra Grubić, Jurca Ivana, Perkov Dražen, Kirhmajer Majda Vrkić
Department of Cardiovascular Diseases, University Hospital Centre Zagreb, Zagreb, Croatia.
Department of Diagnostic and Interventional Radiology, University Hospital Centre Zagreb, Zagreb, Croatia.
JACC Case Rep. 2024 Apr 17;29(8):102260. doi: 10.1016/j.jaccas.2024.102260.
This case shows the risk of severe cardiovascular complications following lumbar spine surgery, with progressive high output heart failure caused by an iatrogenic iliac arteriovenous fistula. Careful history taking and thorough physical examination are essential in guiding the diagnosis. Endovascular repair can provide excellent short- and long-term outcomes.
该病例显示了腰椎手术后发生严重心血管并发症的风险,即由医源性髂动静脉瘘引起的进行性高输出量心力衰竭。仔细的病史采集和全面的体格检查对于指导诊断至关重要。血管内修复可提供出色的短期和长期疗效。