J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2817KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(3): 350-353, 1986

Case report

SURGICAL EXPERIENCE FOR AN ARTERIOVENOUS FISTULA FOL-LOWING DISK SURGERY

1) Department of Thoracic & Cardiovascular Surgery, Ohfuna Kyosai Hospital, Yokohama, Japan
2) Department of Intemal Medicine, Ohfuna Kyosai Hospital, Yokohama, Japan

Masato Ohhira1), Naoki Sakakibara1), Go Watanabe1), Nobuyuki Tanaka1), Yu Sugiyama2), Hiroyasu Ohhara2)

A 21 year-old woman was admitted to our hospital due to congestive heart failure with severe leg edema.
A continious murmur was heard around the lumbar spine close to a surgical scar after laminectomy of the L4-L5 and L5-S1 disc that the patient had undergone six months before.
Aortography demonstrated an arteriovenous fistula between the right common iliac artery and the inferior vena cava.
At operation, we found the moderate sized venous defect and it corresponded with the angiographic finding.
It was repaired by direct suture from inner side of the right common iliac artery. Arterial reconstruction was made with a 8mm woven dacron graft.
Postoperative course was uneventful. The cardiac silhouete diminished in size and cardiac output improved from 12.5l/min. to 8l/min. after surgery.
This report is the fourth case of successful repair for the arteriovenous fistula after disc surgery in Japan.

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