A rare cause of heart failure


Vascular complications of lumbar disk surgery are recognized but rare, iliac arteriovenous fistula is the rarest. It may cause massive shunt flow, leading to congestive heart failure and venous hypertension. We present a case of a 48-year-old woman, who had symptoms of heart failure and with a hypogastric pulsatile abdominal mass that irradiated a continuous murmur extending to the right lumbar region. The abdominal CT showed an arteriovenous fistula between the right common iliac artery and the right common iliac vein near the inferior vena cava caused by surgery for a herniated intervertebral disk.

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Billah, N. , Hammani, L. , Gueddari, F. , Ajana, A. and Nassar, I. (2013) A rare cause of heart failure. Open Journal of Clinical Diagnostics, 3, 154-155. doi: 10.4236/ojcd.2013.34027.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Roolvink, V., Meursing, B.T.J., et al. (2004) Arteriovenous fistula after intervertebral disk surgery at L4-L5. Netherlands Heart Journal, 12, 295-298.
[2] Anda, S., Aakhus, S., Skaanes, K.O., Sande, E. and Schrader, H. (1991) Anterior perforations in lumbar discectomies: A report of four cases of vascular complications and a CT study of the prevertebral lumbar anatomy. Spine, 16, 54-60. http://dx.doi.org/10.1097/00007632-199101000-00011
[3] Murat, D., et al. (2006) Nightmare of lumbar disc surgery: Iliac artery injury. Clinical Neurology and Neurosurgery, 108, 174-177. http://dx.doi.org/10.1016/j.clineuro.2004.11.019
[4] Scott, G., Janette, D., et al. (2009) Endovascular repair of an arteriovenous fistula after intervertebral disk surgery: Case report. Journal of Vascular and Interventional Radiology, 20, 1235-1239. http://dx.doi.org/10.1016/j.jvir.2009.06.004
[5] Jarstfer, B.S. and Rich, N.M. (1976) The challenge of arteriovenous fistula formation following disk surgery: A collective review. Journal of Trauma, 16, 726-733.
[6] Hart, J.P. and Wallis, F. (2003) Endovascular exclusion of iliac artery to iliac veinfistula after lumbar disk surgery. Journal of Vascular Surgery, 37, 1091-1093. http://dx.doi.org/10.1067/mva.2003.180
[7] Canaud, L., Hireche, K., et al. (2011) Endovascular repair of aorto-iliac artery injuries after lumbar-spine surgery. European Journal of Vascular and Endovascular Surgery, 42, 167-171.

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