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KMID : 0191120140290020296
Journal of Korean Medical Science
2014 Volume.29 No. 2 p.296 ~ p.300
Iliocaval Fistula Presenting with Paradoxical Pulmonary Embolism Combined with High-Output Heart Failure Successfully Treated by Endovascular Stent-Graft Repair: Case Report
Na Soo-Jin

Koh Yoon-Seok
Kim Tae-Hoon
Park Sun-Chul
Shin Woo-Seung
Chun Ho-Jong
Lee Jong-Min
Abstract
A 51-yr-old man presented exertional dyspnea as a consequence of iliocaval fistula combined with paradoxical pulmonary embolism and high-output heart failure. Endovascular stent-graft repair was performed to cover iliocaval fistula and restore the heart function. After the procedure, dyspnea was improved and procedure related complication was not seen. A 6-month follow-up computed tomography showed regression of pulmonary thromboembolism and well-positioned stent-graft without graft migration, aortacaval communication or endoleak. Stent graft implantation should be considered an alternative of open repair surgery for treament of abdominal arteriovenous fisula, especially in patient with high risk for surgery.
KEYWORD
Arteriovenous Fistula, Pulmonary Embolism, Angioplasty
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