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Kappadath S K - - 2010
Aortoenteric fistulae are infrequent causes of gastrointestinal bleeding and usually occur as a late complication of aortic aneurysm repair. Primary aortoenteric fistulae are very rare and most have an aetiological association with atherosclerotic aneurysmal disease.(1,2) We report a primary aortoenteric fistula (PAEF) occurring in a 3 year old as a ...
Lin Chunyuan - - 2011
We describe a rare case of complex AV fistulas involving three coronary arteries, the aorta, the left internal mammary artery, the left vertebral artery, and left pulmonary artery. Multidetector row computed tomography well depicted the complex anatomy of the fistulas by multiplanar reconstruction and three-dimensional techniques.
White Ralph W - - 2010
Multiple coronary artery fistulae are rare, complications can be life-threatening, and with large or symptomatic fistulae, intervention is mandatory. Both surgical and percutaneous interventions are well-described. We believe this is the first report of the embolization of an acquired fistula following initial surgical treatment of multiple congenital fistulae.
Salman Loay - - 2009
Assessment of the inflow segment of an arteriovenous fistula is mandatory for optimum access evaluation. Retrograde angiography (RA) is routinely used to image this region of the access system. Traditionally, RA is performed by manually occluding the outflow track of an arteriovenous fistula (AVF) and forcing the radiocontrast into the ...
Talwar Sachin - - 2009
Coronary arteries to pulmonary artery fistulas are rare in patients with Tetralogy of Fallot. Even rarer is the occurrence of these fistulas from a solitary coronary system. We report one such patient in whom the preoperative diagnosis was missed. The importance of a high index of suspicion for accurate preoperative ...
Theron J P - - 2009
We present a case in which a 39-year-old man was assaulted in 2002 and sustained penetrating chest trauma. He was treated conservatively, and presented six years later with exertional dyspnoea and a continuous murmur. Echocardiography detected an aorta-right ventricular fistula and an important aortic regurgitation. The aorta-right ventricular fistula was ...
Huang Ching-Feng - - 2009
INTRODUCTION: We describe a patient who presented with unilateral objective pulsatile tinnitus (PT) from an unusual spontaneous fistula between the internal carotid artery (ICA) and the internal jugular vein (IJV). CASE REPORT: The 56-year-old woman presented with unilateral PT without antecedent trauma. A blowing bruit, synchronous with the pulse, was ...
Kajihara Noriyoshi - - 2009
We present a case with a rare combination of tetralogy of Fallot with an absent pulmonary valve, and a single coronary artery with a major fistula to the main pulmonary artery. Myocardial ischemia developed in response to increasing shunt flow through the coronary fistula, resulting in heart failure. We ligated ...
Zamani Payman - - 2009
Arteriovenous fistulae in the arm are commonly used for hemodialysis in end-stage renal disease. Although physiological steal with reverse flow in the artery distal to the fistula is common, hand ischemia or infarction are rare. The ischemic steal syndrome (hand or forearm ischemia) is usually a result of arterial disease ...
Popoiu Anca - - 2010
This report describes a premature newborn with pulmonary atresia and an intact ventricular septum who presented with a significant fistula between the right ventricle and the left anterior descending coronary artery (LAD). The right ventricle was not decompressed to prevent myocardial damage. After 2 months, the fistula had closed spontaneously. ...
Margaryan Rafik - - 2010
Big pulmonary artery-left atrial fistula malformation (PALAF) was diagnosed in a 5-year-old boy. Although transcatheter therapy would be preferred as a treatment of PALAF, the lesion, which was 20 mm in diameter and almost totally shunting the right main pulmonary artery, it was decided to treat by surgical approach.
El Watidy Ahmed M - - 2010
Coronary arteriovenous (AV) fistula is a rare congenital anomaly, mostly diagnosed incidentally during routine coronary angiography. We report a symptomatic patient with right coronary artery to coronary sinus (RCA-CS) fistula, complicated by aneurysmal dilatation and thrombosis of the CS, causing severe mitral regurgitation (MR) and tricuspid regurgitation (TR).
Tannuri Ana Cristina Aoun - - 2009
Intrahepatic arterioportal fistula (IAPF) is a rare cause of portal hypertension in young children. We report the case of a 2-year-old girl with severe undernutrition, chronic watery diarrhea, and gastrointestinal bleeding because of a congenital intrahepatic arterioportal fistula. Radiographic embolization and surgical ligation of the left hepatic artery were attempted, ...
Moral Sergio - - 2009
Coronary angiography can be used to identify the size and anatomical features of coronaryartery fistulas (CAF), but it may fail to depict the drainage site of the CAF or its relation to other structures. In our case, the combined use of CT and CMR provided all the necessary information forclinical ...
Wu Jiun-Ting - - 2009
Aortotracheal fistula is uncommon but invariably fatal if not diagnosed early and accurately. Most fistulas are related to aneurysm of the thoracic aorta. Massive hemoptysis is reported to occur in more than half of the patients and is often the final event. We report a patient with hoarseness as an ...
Kheda Mufaddal F - - 2010
BACKGROUND: Arteriovenous fistula maturation requires dilatation of the anastomosed artery and vein. The factors that affect dilatation and the mechanisms by which dilatation promotes maturation are not understood. This pilot study tested two hypotheses: that low arterial elasticity is associated with maturation failure, and that vessel dilatation is required for ...
Wilsmore Bradley - - 2009
We report the case of a 69-year-old man who presented with worsening exertional angina where subsequent percutaneous coronary intervention resulted in a coronary arteriovenous fistula. Attempts to occlude the fistula using a relatively conservative management approach with acute reversal of intraprocedural heparin and prolonged balloon inflation unfortunately resulted in extensive ...
Darcy Michael - - 2009
Ureteral arterial fistula (UAF) is an uncommon condition but one that has been increasing with over 100 cases reported. The presentation is gross hematuria in a patient with predisposing factors, such as prior pelvic surgery, past radiation therapy, and chronic ureteral stenting. When not correctly diagnosed, the associated mortality is ...
Selimoglu O - - 2009
Cardiac re-operations are associated with increased morbidity and mortality rates due to adhesion of tissues in the anterior mediastinum. Especially, previous usage of left internal thoracic artery constitutes a major challenge for cardiovascular surgeons. In such cases, the left lung frequently adheres to the thoracic wall and may be injured ...
Lim Woo-Hyun - - 2009
In this case report, we describe a 71-year-old woman with right conal coronary artery-to-pulmonary trunk fistula. She visited the outpatient clinic of the nephrology department for long-term management of renal dysfunction. On transthoracic echocardiography (TTE) conducted as a part of cardiac evaluation, an abnormal Doppler color flow taking a course ...
Heller Samantha L - - 2009
The advantages of autogenous fistulas over grafts and catheters for vascular access in hemodialysis are well recognized and include lower rates of all-cause mortality and infection and significantly decreased total access costs. However, a substantial number of fistulas will never mature and are eventually abandoned. Percutaneous techniques are increasingly used ...
Hashmi Zubair A - - 2010
Coronary cameral fistulas are unusual congenital or acquired anomalous communications between an epicardial coronary artery and a cardiac chamber. We present such an unusual entity here of a coronary cameral fistula between the left anterior descending artery and the left ventricle that was repaired surgically. Coronary cameral fistula is a ...
Meerkin David - - 2009
Transcatheter occlusion of coronary cameral fistulae has been well reported. In large fistulae multiple devices with prolonged procedures are often required for complete occlusion. We present the case of a large right coronary artery-to-right atrial fistula that was rapidly and simply occluded with the three-lobed Amplatzer Vascular Plug 2.
Ou Ching-Huei - - 2009
In patients with coronary and pulmonary arterial fistulas, the drainage sites may be difficult to identify if there are multiple connections by standard 2D echocardiography techniques. However, real time 3D TEE was used intraoperatively in our case to facilitate site identification, the number of fistulous connections, and documentation of the ...
Raynaud Alain - - 2010
Hand ischemic steal syndrome due to a forearm arteriovenous fistula is a rare occurrence. However, its frequency is increasing with the rise in numbers of elderly and diabetic patients. This complication, which is more common for proximal than for distal accesses, can be very severe and may cause loss of ...
Yu J J Beijing Neurosurgical Institute; Beijing, People's Republic of China - - - 2009
This study describes a case of traumatic carotid-cavernous fistula poorly treated with balloons and rescued by coils through a PComA approach. A six-year-old boy suffered a left temporal bone puncture wound. Digital subtraction angiography disclosed a left carotid cavernous fistula. Five balloons were implanted into the cavernous sinus and the ...
Lorenz Jonathan M - - 2010
Stent-graft exclusion of an ischemic, hilar portobiliary fistula after liver transplantation has not been reported. Isolated reports have described peripheral or nonischemic fistulas, and alternative treatment options have ranged from balloon tamponade to surgical repair. We present a unique case of a hilar portobiliary fistula successfully treated to resolution by ...
Hettige Samantha - - 2010
PURPOSE: To illustrate the use of indocyanine green (ICG) video-angiography to confirm abolition of spinal dural arteriovenous fistula (SDAVF) and preserve the normal vascular anatomy intraoperatively. METHODS: A 73-year-old woman presenting with progressive myelopathy was diagnosed with an SDAVF, where the origin of the fistula was in close proximity to ...
Ozlü Mehmet Fatih - - 2011
Coronary artery fistulas are abnormal and rare communications between a coronary artery and a cardiac chamber or a major vessel. Some devices have been designed to treat coronary fistulas percutaneously like coils and vascular occlusion devices. But most of these have been developed for fistulas unaccompanied by coronary artery disease. ...
Cevik Cihan - - 2009
Coronary artery fistulas are rare coronary artery anomalies. Their clinical significance varies from a long asymptomatic course to overt heart failure and death. They are often detected incidentally with diagnostic coronary angiograms. Cardiologists increasingly encounter coronary artery fistulas secondary to recent improvements in cardiovascular imaging modalities. Management is still controversial, ...
Schuman Earl - - 2009
The majority of patients in the United States begin hemodialysis with a catheter. Many have immature or inadequate fistulae. At 90 days 77% of these patients are still using a catheter or a graft. The morbidity and mortality from prolonged catheter use have been well delineated. Although most of us ...
Pesonen Erkki E Pediatric Cardiology, Lund University Hospital, Lund, Sweden. - - 2009
In a 3-year-old boy, a continuous heart murmur was heard. The echocardiogram showed a dilated right coronary artery suggesting the existence of a coronary fistula. A more detailed echocardiogram when the patient was sedated revealed a fistula leading to a large aneurysm and further to the right atrium. The accidental ...
Chen Shyh-Ming - - 2009
The transradial artery approach to angioplasty has rarely been reported as a method for treating dysfunctional Brescia-Cimino fistulas. This study evaluated the feasibility, safety, and 1-year efficacy of this method for treating dysfunctional Brescia-Cimino fistulas. We retrospectively evaluated 154 consecutive procedures in 131 patients (age, 58.3 +/- 11.6 years; male, ...
Yiu Kai-Hang - - 2011
Dual coronary artery fistula is a rare clinical entity and their clinical significance remains unknown. We hereby report a case of right coronary artery and left anterior descending artery fistula to pulmonary artery complicated with clinical significant left to right shunt (1.6:1) who remained clinically well at the age of ...
Siepe Matthias - - 2009
Ruptured abdominal aneurysm is a life-threatening disease requiring immediate treatment. The outcome is even worse in cases complicated by aorto-caval fistula. Treatment is usually attempted by open surgery using direct closure of the venous tear and graft placement in the aorta. Interventional treatment in certain patients seems sensible and has ...
Dufour Eric - - 2009
An ASA III patient presenting with a voluminous hemodialysis fistula aneurysm at the elbow was scheduled for its resection. Axillary brachial plexus block was performed under ultrasound and neurostimulation guidance. Despite unexpected nerve positions in relation to pathological vascular anatomy, this combined approach resulted in an adequate block with a ...
Kovacevi? Pavle - - 2009
Coronary arteriovenous fistulae present rare clinical finding with the incidence of about 0.002% in the general population. Usually they are asymptomatic, but sometimes they can mimic other cardiac diseases, most commonly heart failure, myocardial ischemia, and endocarditis. Coronary arteriovenous fistulae have been reported to arise more commonly from the right ...
Wu Yi-Hsuan - - 2009
Iatrogenic injury is an underreported but potentially devastating complication of orthopedic wire migration. We report a 48-year-old man with a tracheoinnominate artery fistula caused by migration of a Kirschner wire that was inserted for fixation of a left clavicle fracture nine years before. Following surgical removal of the wire and ...
Doganay Selim - - 2009
Coronary artery fistulas are rare congenital or acquired coronary artery anomalies that can originate from any of the three major coronary arteries and drain in all the cardiac chambers and great vessels. Multidetector computed tomography has provided cross-sectional anatomy of the heart with excellent spatial and temporal resolution, which shows ...
Zenooz Navid A - - 2009
Coronary artery fistulas are anomalous terminations of the coronary arteries. Most often, these fistulas are incidentally identified in the adult and pediatric populations. Many patients are asymptomatic; however, an awareness of these fistulas is important because they have been associated with various clinical features, including chest pain or heart failure ...
Jung Hoon Sik - - 2011
Bilateral coronary artery to pulmonary artery fistula is very rare. We describe a 70-year-old female patient with communicating bilateral coronary artery to pulmonary artery fistula identified on coronary angiography and coronary computed tomography angiography.
Kornfield Zev Noah - - 2009
Percutaneous transluminal angioplasty (PTA)-induced venous rupture is a common complication of hemodialysis access interventions. The authors sought to determine if venous rupture rates and management differed between grafts and fistulas, and in the fistula subset, between transposed and nontransposed fistulas. Patients experiencing venous rupture during hemodialysis PTA over a 5-year ...
Bradley P J - - 2009
All patients with bleeding in and around a tracheostomy must be investigated to exclude a serious cause. The overall incidence is approximately 5 per cent of tracheostomies performed in Adult Intensive Care Units (AICU). When bleeding commences more than 72 hours post-operatively, the possibility of a trachea innominate artery fistula ...
Mahesh Balakrishnan - - 2009
Coronary artery fistulas (CAF) are uncommon entities often associated with myocardial ischemia and high output failure. Surgical options include ligation of the fistula, with/without simultaneous coronary artery bypass grafting (CABG). We report a case of left main coronary artery (LMCA) fistula to the coronary sinus (CS), which was associated with ...
Davis Adam - - 2009
Type III coronary perforations are a lethal complication of percutaneous intervention. While most involve "cavity-spilling", or extravasation of contrast into the pericardial space, a few flow into an anatomic chamber. A case of balloon angioplasty-induced Type III perforation of the ramus intermedius (RI) with iatrogenic fistula formation to the great ...
Hii Hiong-Ping - - 2009
The aortovenous fistulas are rare, most of them are aortocaval fistula. The non-caval communication of the fistula is sparse. Herein we report a 47-year-old female diagnosed as traumatic aorto-superior mesenteric vein (Ao-SMV) fistula. The abdominal pain, fullness, and frank bruit on abdominal auscultation suggested the diagnosis of an intra-abdominal arteriovenous ...
Kumar Anil - - 2009
Coronary artery fistulae are uncommon form of coronary anomalies, often diagnosed incidentally during coronary arteriography. Dual origin of fistulae from both coronary arteries draining into the pulmonary arterial branches is extremely rare and their natural history is unknown. In this report, we present a case of middle aged female with ...
Grassia R - - 2009
Aortic graft-enteric fistula is a life-threatening complication of aortic reconstruction surgery. It is a rare condition but its frequency is rising because of an increase of patients who underwent to aortic aneurysm repairs with prosthetic implants. We report a case of a 72 years-old man with a secondary aorto-duodenal fistula. ...
Wang Po-Kai - - 2009
Innominate arterial wall rupture with pseudoaneurysm formation was found during angiography in a 39-year-old woman 2 days after she had undergone percutaneous dilatational tracheostomy. Endovascular stent surgery and balloon angioplasty were performed but these procedures failed to control the massive bleeding resulting from an endoleak. We report the clinical presentations ...
Kakkos Stavros K - - 2009
In the present report, we describe a two-stage technique of combined basilic and brachial vein transposition. Our patient had a brachial-basilic vein fistula created, but during the second stage for the transposition, a low basilic-brachial vein confluence was found. Instead of abandoning the procedure, the brachial vein was mobilized and ...
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