Arteriovenous malformation of the gluteus
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.
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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.
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.