Giant right common iliac artery aneurysm with right common iliac vein fistula, masquerading as deep-vein thrombosis
Iliac artery aneurysm is rarely known to rupture into iliac vein, leading to features of aneurysm and in particular, right ventricular volume overload, and pulmonary artery hypertension, due to the extracardiac left to right shunt. Herein, we report the case of a 67-year-old gentleman who presented...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Vascular and Endovascular Surgery |
| Subjects: | |
| Online Access: | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2023;volume=10;issue=4;spage=330;epage=332;aulast=Unnikrishnan |
| _version_ | 1797246399186731008 |
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| author | Madathipat Unnikrishnan S M Rahul R Harinath S P Shenoj Kumar M Arun Mohan Renny Alexander |
| author_facet | Madathipat Unnikrishnan S M Rahul R Harinath S P Shenoj Kumar M Arun Mohan Renny Alexander |
| author_sort | Madathipat Unnikrishnan |
| collection | DOAJ |
| description | Iliac artery aneurysm is rarely known to rupture into iliac vein, leading to features of aneurysm and in particular, right ventricular volume overload, and pulmonary artery hypertension, due to the extracardiac left to right shunt. Herein, we report the case of a 67-year-old gentleman who presented with massively swollen right lower limb, leading to pain and inability to walk without support for 1 month. He was diagnosed to have and treatment for deep vein thrombosis with Vitamin K antagonist for 2 years. Contrast computed tomography angiogram of the abdomen revealed giant right iliac artery aneurysm above its bifurcation with iliac vein fistula. He underwent open repair of aneurysm and transaneurysmal suture closure of the iliac fistula. However, for transient renal dysfunction and reexploration for pelvic hematoma, his recovery, including normalized right lower limb, was smooth. |
| first_indexed | 2024-04-24T19:42:11Z |
| format | Article |
| id | doaj.art-9904e58a0ae24278b6069dab07e2f5d5 |
| institution | Directory Open Access Journal |
| issn | 0972-0820 2394-0999 |
| language | English |
| last_indexed | 2024-04-24T19:42:11Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj.art-9904e58a0ae24278b6069dab07e2f5d52024-03-25T10:54:54ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992023-01-0110433033210.4103/ijves.ijves_47_23Giant right common iliac artery aneurysm with right common iliac vein fistula, masquerading as deep-vein thrombosisMadathipat UnnikrishnanS M RahulR HarinathS P Shenoj KumarM Arun MohanRenny AlexanderIliac artery aneurysm is rarely known to rupture into iliac vein, leading to features of aneurysm and in particular, right ventricular volume overload, and pulmonary artery hypertension, due to the extracardiac left to right shunt. Herein, we report the case of a 67-year-old gentleman who presented with massively swollen right lower limb, leading to pain and inability to walk without support for 1 month. He was diagnosed to have and treatment for deep vein thrombosis with Vitamin K antagonist for 2 years. Contrast computed tomography angiogram of the abdomen revealed giant right iliac artery aneurysm above its bifurcation with iliac vein fistula. He underwent open repair of aneurysm and transaneurysmal suture closure of the iliac fistula. However, for transient renal dysfunction and reexploration for pelvic hematoma, his recovery, including normalized right lower limb, was smooth.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2023;volume=10;issue=4;spage=330;epage=332;aulast=Unnikrishnaniliac artery aneurysmiliac artery-iliac vein fistulaopen repair |
| spellingShingle | Madathipat Unnikrishnan S M Rahul R Harinath S P Shenoj Kumar M Arun Mohan Renny Alexander Giant right common iliac artery aneurysm with right common iliac vein fistula, masquerading as deep-vein thrombosis Indian Journal of Vascular and Endovascular Surgery iliac artery aneurysm iliac artery-iliac vein fistula open repair |
| title | Giant right common iliac artery aneurysm with right common iliac vein fistula, masquerading as deep-vein thrombosis |
| title_full | Giant right common iliac artery aneurysm with right common iliac vein fistula, masquerading as deep-vein thrombosis |
| title_fullStr | Giant right common iliac artery aneurysm with right common iliac vein fistula, masquerading as deep-vein thrombosis |
| title_full_unstemmed | Giant right common iliac artery aneurysm with right common iliac vein fistula, masquerading as deep-vein thrombosis |
| title_short | Giant right common iliac artery aneurysm with right common iliac vein fistula, masquerading as deep-vein thrombosis |
| title_sort | giant right common iliac artery aneurysm with right common iliac vein fistula masquerading as deep vein thrombosis |
| topic | iliac artery aneurysm iliac artery-iliac vein fistula open repair |
| url | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2023;volume=10;issue=4;spage=330;epage=332;aulast=Unnikrishnan |
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