Endovascular Treatment of a Large Iliac Vein Aneurysm and High-Flow Arteriovenous Fistula

Michael P DeWane; Wassim H Fares; Cassius Iyad Ochoa Chaar

doi:10.1016/j.avsg.2018.04.008

Endovascular Treatment of a Large Iliac Vein Aneurysm and High-Flow Arteriovenous Fistula

Ann Vasc Surg. 2018 Nov:53:266.e5-266.e7. doi: 10.1016/j.avsg.2018.04.008. Epub 2018 Jun 8.

Authors

Michael P DeWane¹, Wassim H Fares¹, Cassius Iyad Ochoa Chaar²

Affiliations

¹ Yale University School of Medicine, New Haven, CT.
² Yale University School of Medicine, New Haven, CT. Electronic address: cassius.chaar@yale.edu.

PMID: 29886213
DOI: 10.1016/j.avsg.2018.04.008

Abstract

Aneurysms associated with arteriovenous fistulas (AVFs) are rare but can cause significant morbidity. They are often diagnosed after rupture, pain, or embolization. We describe a unique case of a 35-year-old woman with a large iliac vein aneurysm related to an acquired AVF incidentally discovered on ultrasound during pregnancy. She had a diagnosis of "idiopathic" pulmonary hypertension for several years. This report details the diagnosis and treatment with an arterial stent graft that was effective in decreasing the size of the venous aneurysm and reversing the systemic changes associated with the disease.

Publication types

Case Reports

MeSH terms

Adult
Aneurysm / diagnostic imaging
Aneurysm / physiopathology
Aneurysm / surgery*
Arteriovenous Fistula / diagnostic imaging
Arteriovenous Fistula / physiopathology
Arteriovenous Fistula / surgery*
Blood Flow Velocity
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Computed Tomography Angiography
Endovascular Procedures* / instrumentation
Female
Humans
Iliac Artery / diagnostic imaging
Iliac Artery / physiopathology
Iliac Artery / surgery*
Iliac Vein* / diagnostic imaging
Iliac Vein* / physiopathology
Incidental Findings
Phlebography / methods
Pregnancy
Regional Blood Flow
Stents
Treatment Outcome
Ultrasonography, Prenatal