An unusual iatrogenic cervical arteriovenous fistula: treatment of a rare vascular complication

Mehmet Taşar; Nur Dikmen Yaman; Zeynep Eyileten; Sadık Bilgiç; Adnan Uysalel

doi:10.5606/e-cvsi.2016.429

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VOLUME: 3 ISSUE: 1

P: 37 - 37

January 2016

An unusual iatrogenic cervical arteriovenous fistula: treatment of a rare vascular complication

Cardiovasc Surg Int 2016;3(1):37-37

DOI: 10.5606/e-cvsi.2016.429

1. Department of Pediatric Cardiovascular Surgery, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey

2. Departments of Cardiovascular Surgery, Medical Faculty of Ankara University, Ankara, Turkey

3. Departments of Radiology, Medical Faculty of Ankara University, Ankara, Turkey

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Introduction

Cervical arteriovenous fistulas may be rarely seen as complications of venous catheterization due to cardiac operations.[1,2] A 22-year-old girl underwent coronary artery bypass grafting due to a singlecoronary artery-related coronary stenosis. On one month follow-up, there was a thrill on the anterior right cervical area. Computed tomography angiography revealed fistulization between the right proximal vertebral artery and right internal jugular vein, which probably resulted from jugular venous catheterization (Figure 1). We closed the fistula by inserting a stent into the vertebral artery. Postoperative computed tomography angiography revealed no fistula (Figure 2).

Percutaneous interventions and surgical procedures are available for the closure of arteriovenous fistulas.

Declaration of conflicting interests

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Funding

The authors received no financial support for the research and/or authorship of this article.

References

Zachariah PP, Unni VN, Kurian G, Nair RR, Mathew A. Thyrocervical artery - jugular fistula following internal jugular venous catheterization. Indian J Nephrol 2014;24:178-80.

Prakash J, Takhellambam B, Ghosh B, Choudhury TA, Singh S, Sharma OP. Subclavian artery- internal jugular vein fistula and heart failure: complication of internal jugular vein catheterization. J Assoc Physicians India 2013;61:142-4.