Cardiovascular Surgery and Interventions 2016, Vol 3, Num 1 Page(s): 037-037
An unusual iatrogenic cervical arteriovenous fistula: treatment of a rare vascular complication
DOI: 10.5606/e-cvsi.2016.429
Mehmet Taşar1, Nur Dikmen Yaman2, Zeynep Eyileten2, Sadık Bilgiç3, Adnan Uysalel2
1Department of Pediatric Cardiovascular Surgery, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
2Departments of Cardiovascular Surgery, Medical Faculty of Ankara University, Ankara, Turkey
3Departments of Radiology, Medical Faculty of Ankara University, Ankara, Turkey
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.

Figure 1: The black arrow showing the vertebral artery and the white arrow showing the internal jugular vein.

Figure 2: Postoperative computed tomography angiography showing no fistulization.

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

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

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