Endovascular Repair of Iatrogenic Superior Mesenteric Arteriovenous Fistula

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• 作者：J.P. Eiberg ; M. Bundgaard-Nielsen ; M.A. Hansen ; N.H. Secher
• 关键词：Iatrogenic arteriovenous fistula ; Mesenteric artery ; Cardiac output ; heart failure ; Bowel resection ; Endovascular ; Amplatzer vascular plug ; Finometer
• 刊名：EJVES Extra
• 出版年：2009
• 出版时间：March 2009
• 年：2009
• 卷：17
• 期：3
• 页码：21-23
• 全文大小：183 K

文摘

Arteriovenous fistulas between the superior mesenteric artery and vein are extremely rare and often a late complication of bowel resection. We report a case of a 42-year-old male, who presented with abdominal pain and dyspnoea 9 years after ileo-caecal resection. A superior mesenteric arteriovenous fistula was detected and treated endovascularly with an Amplatzer Vascular Plug, thereby reducing the cardiac output and flow in the superficial mesenteric artery by 1.1 l min⁻¹. The patient had an uneventful recovery.