Iatrogenic Iliac Arteriovenous Fistula Presenting with Heart Failure Symptoms After Ruptured Ovarian Cyst Surgery; [Over Kist Rüptürü Operasyonu Sonrası Kalp Yetersizliği Semptomları ile Prezente Olan İyatrojenik İliyak Arteriyovenöz Fistül]
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Date
2023
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Abstract
Iatrogenic arteriovenous fistulas (AVF), which are increasing in the literature with the increase of surgical closed vascular interventions in diagnosis and treatment, are rare but have fatal complications. AVF may present with congestive heart failure symptoms, cardio-pulmonary symptoms, and leg edema immediately after the operation or over the years, depending on the size of the fistula. Diagnosis can be made by imaging examinations such as Doppler ultrasonography, computed tomography, or magnetic resonance angiography in patients with suspected AVF. The endovascular stent-grafting approach seems to be more popular in eligible patients due to surgical treatment's high morbidity and mortality rates. We aimed to report a rare case of iliac arteriovenous fistula that developed after a laparoscopic intervention due to ovarian cyst rupture and successfully grafted with an endovascular covered stent. 2146-9032 / Copyright © 2023 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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acetylsalicylic acid , clopidogrel , abnormal respiratory sound , acute abdomen , adolescent , arteriovenous fistula , Article , ascites , atelectasis , case report , clinical article , common iliac artery , computer assisted tomography , differential diagnosis , Doppler ultrasonography , dyspnea , echocardiography , fatigue , female , follow up , health care facility , heart auscultation , heart failure , heart left atrium , heart palpitation , hepatomegaly , human , iliac artery , inferior cava vein , laparoscopic ovarian cystectomy , laparoscopic surgery , leg edema , liver vein , lung embolism , maintenance therapy , medical history , ovary cyst , pericardial effusion , perioperative complication , physical examination , pleura effusion , pulmonary hypertension , respiratory distress , saccular aneurysm , systolic heart murmur , tachycardia , tachypnea , thorax radiography , tricuspid valve regurgitation