Iatrogenic Femoral Arteriovenous Fistula with Double Connection between Femoral Artery and Vein Leading to High-Output Heart Failure Years after Mitral and Tricuspid Valve Replacement

Arteriovenous fistulas (AVFs) are potentially harmful but curable complications of diagnostic and interventional cardiac catheterizations. In this report, we present a case of iatrogenic AVF both from superficial and deep femoral arteries to common femoral vein leading to progressively developing se...

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Main Authors: Arda Özyüksel, Rıza Doğan
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2013/712089
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spelling doaj-dcb7c0715cd04a4db760f1a994679aa92020-11-25T01:02:34ZengHindawi LimitedCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/712089712089Iatrogenic Femoral Arteriovenous Fistula with Double Connection between Femoral Artery and Vein Leading to High-Output Heart Failure Years after Mitral and Tricuspid Valve ReplacementArda Özyüksel0Rıza Doğan1Medipol Üniversitesi Kalp ve Damar Cerrahisi Bölümü, TEM Otoyolu Göztepe Çıkışı, No. 1, Bağcılar, 34214 İstanbul, TurkeyDepartment of Cardiovascular Surgery, Hacettepe University, Ankara, TurkeyArteriovenous fistulas (AVFs) are potentially harmful but curable complications of diagnostic and interventional cardiac catheterizations. In this report, we present a case of iatrogenic AVF both from superficial and deep femoral arteries to common femoral vein leading to progressively developing severe right-sided heart failure in a patient who had two normally functioning mechanical valves at mitral and tricuspid positions. A 58-year-old woman who had a history of mitral and tricuspid valve replacement operations was admitted to our clinic with exertional dyspnea, palpitation, abdominal tenderness, and right-sided inguinal pain. Coronary angiography was performed via right femoral arterial access ten months ago. Doppler ultrasonography and computerized tomography revealed right superficial femoral artery to common femoral vein fistulisation. The patient was operated, and a double connection between the femoral artery and vein was encountered and treated successfully. Soon after the surgical procedure, clinical signs of right-sided heart failure ceased dramatically. The postoperative course was uneventful. Access site complications following interventional procedures represent significant problems. Sudden and progressive clinical deterioration in a patient especially with a history of diagnostic or therapeutic cardiovascular intervention may evocate the possibility of peripheral access site AVF formation.http://dx.doi.org/10.1155/2013/712089
collection DOAJ
language English
format Article
sources DOAJ
author Arda Özyüksel
Rıza Doğan
spellingShingle Arda Özyüksel
Rıza Doğan
Iatrogenic Femoral Arteriovenous Fistula with Double Connection between Femoral Artery and Vein Leading to High-Output Heart Failure Years after Mitral and Tricuspid Valve Replacement
Case Reports in Vascular Medicine
author_facet Arda Özyüksel
Rıza Doğan
author_sort Arda Özyüksel
title Iatrogenic Femoral Arteriovenous Fistula with Double Connection between Femoral Artery and Vein Leading to High-Output Heart Failure Years after Mitral and Tricuspid Valve Replacement
title_short Iatrogenic Femoral Arteriovenous Fistula with Double Connection between Femoral Artery and Vein Leading to High-Output Heart Failure Years after Mitral and Tricuspid Valve Replacement
title_full Iatrogenic Femoral Arteriovenous Fistula with Double Connection between Femoral Artery and Vein Leading to High-Output Heart Failure Years after Mitral and Tricuspid Valve Replacement
title_fullStr Iatrogenic Femoral Arteriovenous Fistula with Double Connection between Femoral Artery and Vein Leading to High-Output Heart Failure Years after Mitral and Tricuspid Valve Replacement
title_full_unstemmed Iatrogenic Femoral Arteriovenous Fistula with Double Connection between Femoral Artery and Vein Leading to High-Output Heart Failure Years after Mitral and Tricuspid Valve Replacement
title_sort iatrogenic femoral arteriovenous fistula with double connection between femoral artery and vein leading to high-output heart failure years after mitral and tricuspid valve replacement
publisher Hindawi Limited
series Case Reports in Vascular Medicine
issn 2090-6986
2090-6994
publishDate 2013-01-01
description Arteriovenous fistulas (AVFs) are potentially harmful but curable complications of diagnostic and interventional cardiac catheterizations. In this report, we present a case of iatrogenic AVF both from superficial and deep femoral arteries to common femoral vein leading to progressively developing severe right-sided heart failure in a patient who had two normally functioning mechanical valves at mitral and tricuspid positions. A 58-year-old woman who had a history of mitral and tricuspid valve replacement operations was admitted to our clinic with exertional dyspnea, palpitation, abdominal tenderness, and right-sided inguinal pain. Coronary angiography was performed via right femoral arterial access ten months ago. Doppler ultrasonography and computerized tomography revealed right superficial femoral artery to common femoral vein fistulisation. The patient was operated, and a double connection between the femoral artery and vein was encountered and treated successfully. Soon after the surgical procedure, clinical signs of right-sided heart failure ceased dramatically. The postoperative course was uneventful. Access site complications following interventional procedures represent significant problems. Sudden and progressive clinical deterioration in a patient especially with a history of diagnostic or therapeutic cardiovascular intervention may evocate the possibility of peripheral access site AVF formation.
url http://dx.doi.org/10.1155/2013/712089
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