Endovascular Therapy for Spontaneous Ilioiliac Arteriovenous Fistula due to Iliac Aneurysm Rupture With Multiorgan Dysfunction

Spontaneous arteriovenous fistula secondary to ruptured iliac artery aneurysm into iliac vein is a rare complication. Even remote is the resultant acute hepatic and renal insufficiency due to high-output congestive heart failure. Only a few case reports exist in the literature with descriptions of open repair. Prompt management is warranted; however, the traditional open procedure is fraught with significant complications. Here we describe a case highlighting the organ dysfunction that resolved with an iliac branch endoprosthesis device after an emergent repair in challenging anatomy.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstract from the 2019 Midwestern Vascular Surgical Society Annual Meeting Source Type: research