High-output cardiac failure associated with an iliac artery aneurysm and arteriovenous fistula. A case report

Du Toit D.F. ; Van Der Merwe D.M. ; Groenewald J.H. ; De Roubaix J.A.M. (1983)


The original publication is available at http://www.samj.org.za


Rupture of an aneurysm into a major vein is an uncommon complication, and the resulting arteriovenous fistula frequently causes hihg-ouput cardiac failure as a presenting symptom. A patient with high-output cardiac failure refractory to conservative treatment and an aortic and left iliac artery aneurysm and associated arteriovenous fistula between the left common iliac artery and vein is presented. The fistula was confirmed by transfemoral arteriography. Successful resection of the aneurysm and closure of the fistula resulted in dramatic clinical improvement. Careful monitoring of cardiovascular function with a Swan-Ganz catheter, before, during and after operation contributed to a satisfactory result.

Please refer to this item in SUNScholar by using the following persistent URL: http://hdl.handle.net/10019.1/7594
This item appears in the following collections: