Arteriovenous malformation of the gluteus

Case contributed by Dr. Ezio Lanza

Presentation

Patient presented with congenital arteriovenous malformation of the gluteus. Surgically treated twice, the malformation kept reforming itself. The patient came at our attention to undergo endovascular arterial embolization with glue.

Patient Data

Age: 40 years
Gender: Male
DSA (angiography)

Large arteriovenous malformation arising from the left internal iliac artery. Its arterial branches are large and tortuous. Significant blood flow diverted from iliac arteries into this malformation causing cardiomegaly and heart failure. 

 

Case Discussion

Heart MRI demonstrated a dilatated left chamber with telediastolic volume of  320 ml (142 ml/m2) and diffuse hypocinesia.  Left chamber weight was 237 g.

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Case information

rID: 8467
Published: 3rd Feb 2010
Last edited: 13th Aug 2019
System: Vascular
Inclusion in quiz mode: Included

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