Endovascular repair of a spontaneous ilio-iliac fistula presenting as pulmonary embolism.
Title | Endovascular repair of a spontaneous ilio-iliac fistula presenting as pulmonary embolism. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Melas, N., Saratzis A., Abbas A., Sarris K., Saratzis N., Lazaridis I., & Kiskinis D. |
Journal | Vasa |
Volume | 40 |
Issue | 3 |
Pagination | 246-50 |
Date Published | 2011 May |
ISSN | 0301-1526 |
Keywords | Aged, Aneurysm, Ruptured, Arteriovenous Fistula, Blood Vessel Prosthesis Implantation, Endovascular Procedures, Humans, Iliac Aneurysm, Iliac Artery, Iliac Vein, Male, Pulmonary Embolism, Tomography, X-Ray Computed, Treatment Outcome |
Abstract | Spontaneous rupture of a common iliac artery aneurysm into the common iliac vein is a rare phenomenon. We report the case of a 68 year old man admitted with acute cardiac failure and massive pulmonary embolism as a complication of a spontaneous ilio-iliac fistula, secondary to aneurysmal rupture. The aneurysm was successfully excluded using an aorto-uni-iliac stent graft. No complications were noted at 9 months follow-up. Arteriovenous fistulae should be considered in patients with aortic or iliac aneurysms who develop a pulmonary embolism or symptoms of venous congestion. Endovascular repair of these pathologies is a feasible therapeutic option; however long term results remain unknown. |
DOI | 10.1024/0301-1526/a000100 |
Alternate Journal | VASA |
PubMed ID | 21638254 |