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Successful open surgical repair of large ilio-caval fistula presenting with congestive heart failure

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript


Ilio-caval arteriovenous fistula is a rare sequel of lumbar disc surgery or penetrating injury. We report a case of 40-year gentleman presenting with symptoms of congestive heart failure and continuous murmur heard over right iliac fossa. His past history was significant for lumbar disc surgery done twice 1 year back. Computed tomography angiogram confirmed a large fistulous communication between right common iliac artery and inferior vena cava. Open surgical repair was performed as the fistula was not well suited for endovascular repair. We successfully managed this case by open surgical ligation of right common iliac artery proximal and distal to fistula and continuity restored with interposition Dacron graft. He was relieved of symptoms and performing well on follow-up.

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  1. Robbs JV, Carrim AA, Kadwa AM, Mars M. Traumatic arteriovenous fistula: experience with 202 patients. Br J Surg. 1994;81:1296–9.

    Article  PubMed  CAS  Google Scholar 

  2. Erkut B, Unlü Y, Kaygin MA, Colak A, Erdem AF. Iatrogenic vascular injury during to lumbar disc surgery. Acta Neurochir (Wien). 2007;149:511–5.

    Article  CAS  Google Scholar 

  3. El Hadj SC, Mgarrech I, Tarmiz A. High-output cardiac failure secondary to a post-traumatic iliocaval fistula. Indian J Thorac Cardiovasc Surg. 2020;36:515–7.

    Article  Google Scholar 

  4. Cinara IS, Davidovic LB, Kostic DM, Cvetkovic SD, Jakovljevic NS, Koncar IB. Aorto-caval fistulas: a review of eighteen years experience. Acta Chir Belg. 2005;105:616–20.

    Article  PubMed  CAS  Google Scholar 

  5. Papadoulas S, Konstantinou D, Kourea HP, Kritikos N, Haftouras N, Tsolakis JA. Vascular injury complicating lumbar disc surgery. A systematic review. Eur J Vasc Endovasc Surg. 2002;24:189–95.

    Article  PubMed  CAS  Google Scholar 

  6. Brewster DC, Cambria RP, Moncure AC, et al. Aortocaval and iliac arteriovenous fistulas: recognition and treatment. J Vasc Surg. 1991;13:253–64.

    Article  CAS  Google Scholar 

  7. Miller-Thomas MM, West OC, Cohen AM. Diagnosing traumatic arterial injury in the extremities with CT angiography: pearls and pitfalls. Radiographics. 2005;25:S133–42.

    Article  PubMed  Google Scholar 

  8. Nakad G, AbiChedid G, Osman R. Endovascular treatment of major abdominal arteriovenous fistulas: a systematic review. Vasc Endovascular Surg. 2014;48:388–95.

    Article  PubMed  Google Scholar 

  9. Brightwell RE, Pegna V, Boyne N. Aortocaval fistula: current management strategies. ANZ J Surg. 2013;83:31–5.

    Article  PubMed  Google Scholar 

  10. Sueyoshi E, Iwano Y, Oka T, et al. The successful treatment of an ilio-iliac fistula and aneurysms affecting the abdominal aortic and iliac arteries via endovascular stent graft repair. Vasc Endovascular Surg. 2021;55:91–4.

    Article  PubMed  Google Scholar 

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Correspondence to Alok Kumar Sharma.

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Patel, S., Das, A., Rajagopal, R. et al. Successful open surgical repair of large ilio-caval fistula presenting with congestive heart failure. Indian J Thorac Cardiovasc Surg 38, 96–98 (2022).

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