Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous Malformation
Arteriovenous malformations (AVMs) are rare congenital vascular anomalies where rupture can be fatal. This report describes a case of a 69-year-old woman who presented with sudden severe lower back pain radiating to her left buttock and thigh and an inability to move her left leg. Computed tomograph...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medrang
2020-03-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2020.36.1.33 |
| _version_ | 1818114266622853120 |
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| author | Lorenz Meuli Nektarios Galanis Florian Dick |
| author_facet | Lorenz Meuli Nektarios Galanis Florian Dick |
| author_sort | Lorenz Meuli |
| collection | DOAJ |
| description | Arteriovenous malformations (AVMs) are rare congenital vascular anomalies where rupture can be fatal. This report describes a case of a 69-year-old woman who presented with sudden severe lower back pain radiating to her left buttock and thigh and an inability to move her left leg. Computed tomography angiography (CTA) showed an extensive ruptured retroperitoneal AVM on the left paravertebral side with active bleeding and a large hematoma. Cardiopulmonary resuscitation with considerable blood transfusion was required. The AVM was effectively treated with coil embolization of the feeding lumbar arteries. Shortly after the intervention, the patient developed abdominal compartment syndrome. Urgent laparotomy with evacuation of the retroperitoneal hematoma was required. The patient was discharged 16 days after admission in a good physical condition and has been free of symptoms for more than a year after intervention. However, follow-up CTA showed residual contrast enhancement in the AVM and further surveillance is required. |
| first_indexed | 2024-12-11T03:48:00Z |
| format | Article |
| id | doaj.art-efa13ee42bbf43ce9fb26d7339293edf |
| institution | Directory Open Access Journal |
| issn | 2288-7970 |
| language | English |
| last_indexed | 2024-12-11T03:48:00Z |
| publishDate | 2020-03-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-efa13ee42bbf43ce9fb26d7339293edf2022-12-22T01:21:58ZengMedrangVascular Specialist International2288-79702020-03-01361333710.5758/vsi.2020.36.1.33vsi.2020.36.1.33Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous MalformationLorenz Meuli0Nektarios Galanis1Florian Dick2Department of Vascular Surgery, St. Gallen Cantonal Hospital, St. Gallen, SwitzerlandDepartment of Vascular Surgery, St. Gallen Cantonal Hospital, St. Gallen, SwitzerlandDepartment of Vascular Surgery, St. Gallen Cantonal Hospital, St. Gallen, SwitzerlandArteriovenous malformations (AVMs) are rare congenital vascular anomalies where rupture can be fatal. This report describes a case of a 69-year-old woman who presented with sudden severe lower back pain radiating to her left buttock and thigh and an inability to move her left leg. Computed tomography angiography (CTA) showed an extensive ruptured retroperitoneal AVM on the left paravertebral side with active bleeding and a large hematoma. Cardiopulmonary resuscitation with considerable blood transfusion was required. The AVM was effectively treated with coil embolization of the feeding lumbar arteries. Shortly after the intervention, the patient developed abdominal compartment syndrome. Urgent laparotomy with evacuation of the retroperitoneal hematoma was required. The patient was discharged 16 days after admission in a good physical condition and has been free of symptoms for more than a year after intervention. However, follow-up CTA showed residual contrast enhancement in the AVM and further surveillance is required.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2020.36.1.33vascular malformationsarteriovenous malformationslumbar arteryruptured aneurysmtherapeutic embolization |
| spellingShingle | Lorenz Meuli Nektarios Galanis Florian Dick Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous Malformation Vascular Specialist International vascular malformations arteriovenous malformations lumbar artery ruptured aneurysm therapeutic embolization |
| title | Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous Malformation |
| title_full | Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous Malformation |
| title_fullStr | Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous Malformation |
| title_full_unstemmed | Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous Malformation |
| title_short | Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous Malformation |
| title_sort | successful endovascular treatment of a ruptured giant lumbar arteriovenous malformation |
| topic | vascular malformations arteriovenous malformations lumbar artery ruptured aneurysm therapeutic embolization |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2020.36.1.33 |
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