Rare Cause of Leg Edema after Femoropopliteal Bypass Procedure in Patient with Previously Unrecognized Arteriovenous Fistulas: A Case Report

Srdjan  Babic; Aleksandar Babic; Milan Marinkovic; Vladimir Kovacevic; Bojan  Vucurevic; Slobodan  Tanaskovic; Milorad Sevkovic; Predrag Gajin; Predrag Matic; Nenad Ilijevski

doi:10.3889/oamjms.2023.11009

Authors

Srdjan Babic Vascular Surgery Clinic, Institute for Cardiovascular Disease, Belgrade University School of Medicine, Dedinje, Belgrade, Serbia https://orcid.org/0000-0001-9659-9190
Aleksandar Babic Vascular Surgery Clinic, Institute for Cardiovascular Disease, Dedinje, Belgrade, Serbia
Milan Marinkovic Vascular Surgery Clinic, Institute for Cardiovascular Disease, Dedinje, Belgrade, Serbia
Vladimir Kovacevic Department for Interventional Vascular Diagnostics and Therapy, Clinic for Radiology, Institute for Cardiovascular Diseases, Dedinje, Belgrade, Serbia https://orcid.org/0000-0002-7165-6096
Bojan Vucurevic Cardiology Clinic, Institute for Cardiovascular Diseases, Dedinje, Belgrade, Serbia
Slobodan Tanaskovic Vascular Surgery Clinic, Institute for Cardiovascular Disease, Belgrade University School of Medicine, Dedinje, Belgrade, Serbia
Milorad Sevkovic Cardiology Clinic, Institute for Cardiovascular Diseases, Dedinje, Belgrade, Serbia https://orcid.org/0000-0003-2900-8172
Predrag Gajin Vascular Surgery Clinic, Institute for Cardiovascular Disease, Belgrade University School of Medicine, Dedinje, Belgrade, Serbia
Predrag Matic Vascular Surgery Clinic, Institute for Cardiovascular Disease, Belgrade University School of Medicine, Dedinje, Belgrade, Serbia
Nenad Ilijevski Vascular Surgery Clinic, Institute for Cardiovascular Disease, Belgrade University School of Medicine, Dedinje, Belgrade, Serbia https://orcid.org/0000-0002-8200-9556

DOI:

https://doi.org/10.3889/oamjms.2023.11009

Keywords:

Arteriovenous Fistula, Endovascular Procedures, Pulmonary Embolism

Abstract

BACKGROUND: Arteriovenous fistulas (AVFs) are pathological, congenital, or acquired communications between the arterial and venous vascular bed. Asymptomatic AVFs do not require surgical or endovascular treatment; however, if they are symptomatic, they must be treated to relieve the patient of symptoms and cardiovascular disorders.

CASE PRESENTATION: Our patient had an undiagnosed AVF that became symptomatic after femoropopliteal bypass surgery. We successfully treated these complications with four cover stents.

CONCLUSION: The presence of AVFs should be kept in mind in the case of rapidly developing leg edema after revascularization. Endovascular treatment of symptomatic AVF is a safe and effective treatment modality. Treatment of symptomatic AVFs is not only recommended for improving impaired arterial or venous blood flow, but also for preventing recurrent PE.

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