Percutaneous closure of a large iatrogenic fistula between the inferior vena cava and the pulmonary vein in a child

Catheter Cardiovasc Interv. 2011 Nov 1;78(5):694-7. doi: 10.1002/ccd.22949. Epub 2011 Jul 21.

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.

Publication types

  • Case Reports

MeSH terms

  • Balloon Occlusion
  • Child
  • Endovascular Procedures* / instrumentation
  • Hemodynamics
  • Hernia, Diaphragmatic / surgery*
  • Humans
  • Iatrogenic Disease*
  • Male
  • Phlebography / methods
  • Pulmonary Circulation
  • Pulmonary Veins / diagnostic imaging
  • Pulmonary Veins / injuries*
  • Pulmonary Veins / physiopathology
  • Radiography, Interventional
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / etiology
  • Vascular Fistula / physiopathology
  • Vascular Fistula / therapy*
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / etiology
  • Vascular System Injuries / physiopathology
  • Vascular System Injuries / therapy*
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / injuries*
  • Vena Cava, Inferior / physiopathology