RESUMO
The presented herein clinical case report concerns successful endovascular closure of a iatrogenic lesion of the iliac artery and inferior vena cava with formation of a pathological arteriovenous anastomosis manifesting itself by venous thromboembolic syndrome and severe right-ventricular insufficiency.
Assuntos
Fístula Arteriovenosa/cirurgia , Discotomia/efeitos adversos , Doença Iatrogênica , Artéria Ilíaca/cirurgia , Complicações Intraoperatórias , Enxerto Vascular/métodos , Adulto , Fístula Arteriovenosa/diagnóstico por imagem , Fístula Arteriovenosa/etiologia , Fístula Arteriovenosa/fisiopatologia , Feminino , Humanos , Artéria Ilíaca/diagnóstico por imagem , Artéria Ilíaca/lesões , Degeneração do Disco Intervertebral/cirurgia , Deslocamento do Disco Intervertebral/cirurgia , Complicações Intraoperatórias/diagnóstico por imagem , Complicações Intraoperatórias/fisiopatologia , Complicações Intraoperatórias/cirurgia , Vértebras Lombares/irrigação sanguínea , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento , Veia Cava Inferior/diagnóstico por imagem , Veia Cava Inferior/lesõesRESUMO
In a multiple-vessel lesion of the coronary bed, pronounced accompanying pathology, low ejection fraction of the left ventricle, obesity, previously performed operation of coronary aortic bypass grafting may be causes of refusal from revascularization by means of coronary bypass grafting. A transcutaneous coronary intervention (TCI) in this patient cohort is also associated with the risk of an unfavourable outcome in case of a technically complicated procedure and a large volume of the myocardium supplied with blood by the target arteries. Haemodynamic support of such high-risk TCI by means of intra-aortic balloon contrapulsation or a left-ventricle assist device is associated with a series of shortcomings which are removed by means of a biventricular bypass used in a combination with extracorporeal membranous oxygenation. This article deals with a case report of successful stenting of the unprotected trunk of the left coronary artery and the right coronary artery in the conditions of a mechanical biventricular bypass.
