Abstract
We hereby describe a complex late postoperative veno-venous fistula in a child, successfully treated by an interventional percutaneous procedure. It is a unique complication of diaphragmatic hernia surgery that has never been reported before: a late postoperative iatrogenic fistula, between the inferior vena cava and the right lower pulmonary vein, discovered in a 6-year-old boy operated at the age of 4 months for a right diaphragmatic hernia. The right to left shunt was completely and uneventfully suppressed by a percutaneous procedure separating the systemic venous return from the pulmonary venous return with an Amplatzer Vascular Plug II.
Copyright © 2011 Wiley-Liss, Inc.
MeSH terms
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Balloon Occlusion
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Child
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Endovascular Procedures* / instrumentation
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Hemodynamics
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Hernia, Diaphragmatic / surgery*
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Humans
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Iatrogenic Disease*
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Male
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Phlebography / methods
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Pulmonary Circulation
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Pulmonary Veins / diagnostic imaging
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Pulmonary Veins / injuries*
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Pulmonary Veins / physiopathology
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Radiography, Interventional
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular Fistula / diagnostic imaging
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Vascular Fistula / etiology
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Vascular Fistula / physiopathology
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Vascular Fistula / therapy*
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Vascular System Injuries / diagnostic imaging
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Vascular System Injuries / etiology
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Vascular System Injuries / physiopathology
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Vascular System Injuries / therapy*
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Vena Cava, Inferior / diagnostic imaging
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Vena Cava, Inferior / injuries*
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Vena Cava, Inferior / physiopathology