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  • Title: Splenic arteriovenous fistula: successful treatment with an Amplatz occlusion device.
    Author: Moghaddam MB, Kalra M, Bjarnason H, Vrtiska TJ.
    Journal: Ann Vasc Surg; 2011 May; 25(4):556.e17-20. PubMed ID: 21549928.
    Abstract:
    Splenic artery and vein aneurysm with splenic arteriovenous fistula (SAVF) is a rare entity. We report the case of a 72-year-old woman who presented with signs and symptoms of portal hypertension after a laparoscopic Nissen fundoplication. The diagnosis of a 37-mm SAVF was confirmed by a computed tomographic angiogram. The arteriovenous fistula was successfully treated with placement of a 20-mm Amplatz occlusion device. Surgical ligation and percutaneous embolization have been reported to be equally successful in managing SAVF. We present a review of the literature and report on a novel approach to this rare and challenging diagnosis.
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