A Case Report of Right Common Iliac Artery To Right Common Iliac Vein Arterio - Venous Fistula Following Lumbar Spine Laminectomy

Abstract

Arteriovenous (AV) fistulae, pseudoaneurysms,
and lacerations may occurduring
lumbar disc surgery. AV fistula
after lumbar disc surgery is rare. Early
diagnosis and treatment of vascular complications
associated with disc surgery is
essential due to their high mortality and
morbidity rates. We report a case of
young male patient underwent L4 L5
Lumbar Laminectomy 2 months back
presented us with tachycardia, dilated
veins over abdomen, leg swelling and
dyspnoea on exertion for 2 months. He
was found to have a fistulous communication
between right common Iliac artery
common Iliac vein which was surgically
disconnected and common iliac artery
was repaired with interposition PTFE
graft. Patient relieved of all symptoms
with out any postoperative complication.