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Vascular and Endovascular Surgery
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Successful Repair of Spontaneous Iliac Artery- Iliac Vein Fistula

George L. Hines

Departments of Thoracic and Cardiovascular Surgery and Medicine, Nassau Hospital, Mineola, New York

L. Lynn Merritts

Departments of Thoracic and Cardiovascular Surgery and Medicine, Nassau Hospital, Mineola, New York

M. Mohtash-Emi

Departments of Thoracic and Cardiovascular Surgery and Medicine, Nassau Hospital, Mineola, New York

This is the first reported case of an iliac artery-iliac vein arteriovenous fistula secondary to rupture of an iso lated atherosclerotic iliac artery aneurysm. The patient presented with systemic and local signs of a large fistula. The operative treatment of fistulas between large vessels has been associated with a high mortality rate because of massive, uncontrolla ble hemorrhage. For this reason an autotransfuser was used. The opera tion was performed with only 1 to 2 minutes of hypotension, and the post operative result was excellent.

Vascular and Endovascular Surgery, Vol. 12, No. 5, 349-353 (1978)
DOI: 10.1177/153857447801200512
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