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J. Korean Med. Sci. · Feb 2014
Case ReportsIliocaval fistula presenting with paradoxical pulmonary embolism combined with high-output heart failure successfully treated by endovascular stent-graft repair: case report.
- Soo Jin Na, Yoon-Seok Koh, Tae-Hoon Kim, Sun-Chul Park, Woo-Seung Shin, Ho-Jong Chun, and Jong-Min Lee.
- Cardiovascular Center and Division of Cardiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
- J. Korean Med. Sci. 2014 Feb 1; 29 (2): 296-300.
AbstractA 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.
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