Successful Endovascular Repair of an Ilio-Iliac Arteriovenous Fistula Associated With a Ruptured Internal Iliac Aneurysm.

ABSTRACT:

Background

A ruptured internal iliac artery aneurysm that perforates the common iliac vein is a rare but fatal condition.

Case summary

An 80-year-old man presented with back pain and anorexia. Contrast-enhanced computed tomography revealed a ruptured internal iliac artery aneurysm that perforated the right common iliac vein and caused acute heart failure. The fistula was temporarily closed using a dilated balloon that was promptly inserted through the right femoral vein, resulting in hemodynamic stability. Endovascular treatment including coil embolization was performed. Computed tomography after surgery showed the absence of arteriovenous flow and no endoleaks. The patient was discharged 30 days after surgery.

Discussion

An arteriovenous fistula can induce hemodynami

SUBMITTER: Nagase T 

PROVIDER: S-EPMC12462145 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature