Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/29157
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dc.contributor.authorKosum P.
dc.contributor.authorChattranukulchai P.
dc.contributor.authorTheerasuwipakorn N.
dc.contributor.authorSricholwattana S.
dc.contributor.authorAriyachaipanich A.
dc.contributor.authorTumkosit M.
dc.contributor.authorWanlapakorn C.
dc.contributor.authorSrimahachota S.
dc.contributor.authorBoonyaratavej S.
dc.contributor.otherSrinakharinwirot University
dc.date.accessioned2023-11-15T02:08:02Z-
dc.date.available2023-11-15T02:08:02Z-
dc.date.issued2023
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85151744300&doi=10.1016%2fj.radcr.2023.02.062&partnerID=40&md5=8603c5b0fb027e260c7f833e0c4ff635
dc.identifier.urihttps://ir.swu.ac.th/jspui/handle/123456789/29157-
dc.description.abstractA minority of patients with heart failure present in a high-output state. We described an uncommon case of high-output heart failure caused by an iliac arteriovenous fistula (IAVF), a rare but serious complication after lumbar discectomy surgery (LDS). A 44-year-old man with no notable medical condition except a history of herniated nucleus pulposus necessitating the L4-L5 LDS 5 years ago presented with clinical signs of progressive high-output heart failure. Physical examination revealed wide pulse pressure with bruit and systolic thrill at the right inguinal region. Computed tomographic angiography confirmed the IAVF from the right common iliac artery to the left common iliac vein. There was a significant shunting to the venous system, causing severe dilatation of the inferior vena cava. Notably, the preoperative lumbar magnetic resonance imaging performed 5 years ago demonstrated that the herniated disc was located at the L4-L5 level, which corresponded to the location of IAVF. The patient successfully underwent endovascular closure by covered stent leading to the gradual resolution of symptoms and hemodynamic parameters. Although vascular complications from the LDS are very uncommon, most patients develop severe symptoms from worsening high-output heart failure. This case highlights the essence of careful history taking, physical examinations, and appropriate investigations in guiding the diagnosis and contemplating the treatment strategy. © 2023
dc.publisherElsevier Inc.
dc.subjectEndovascular intervention
dc.subjectHigh-output heart failure
dc.subjectIliac arteriovenous fistula
dc.subjectLumbar discectomy
dc.titleAn unusual cause of high-output heart failure from the iliac arteriovenous fistula after lumbar discectomy: A case report
dc.typeArticle
dc.rights.holderScopus
dc.identifier.bibliograpycitationRadiology Case Reports. Vol 18, No.6 (2023), p.2140-2144
dc.identifier.doi10.1016/j.radcr.2023.02.062
Appears in Collections:Scopus 2023

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