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Unusual complication of total thyroidectomy: arteriovenous fistula.

https://arctichealth.org/en/permalink/ahliterature20463
Source
Thyroid. 2000 Apr;10(4):359-61
Publication Type
Article
Date
Apr-2000
Author
J. Jensovsky
H. Markova
J. Bohutova
Author Affiliation
Second Department of Medicine, Third School of Medicine, Faculty Hospital Kralovske Vinohrady, Prague, Czech Republic. int2sec@fnkv.cz
Source
Thyroid. 2000 Apr;10(4):359-61
Date
Apr-2000
Language
English
Publication Type
Article
Keywords
Accidents, Radiation
Adenoma, Oxyphilic - etiology - surgery
Adult
Arteriovenous Fistula - etiology - therapy
Embolization, Therapeutic - instrumentation - methods
Female
Humans
Jugular Veins
Neoplasms, Radiation-Induced - etiology - surgery
Postoperative Complications - etiology - therapy
Thyroid Neoplasms - etiology - surgery
Thyroidectomy - adverse effects
Ukraine
Abstract
We describe the case of a 29-year-old woman from the Chernobyl area, who moved to the Czech Republic 10 years after the Chernobyl nuclear disaster. She was evaluated for a large goiter. Fine-needle aspiration cytology indicated a diagnosis of a typical degenerated Hurthle cell adenoma. She underwent total thyroidectomy but a continual loud murmur was found 1 month after surgery. An arteriovenous (AV) fistula between the right thyrocervical trunk and the right jugular vein was proven angiographically. This fistula was successfully closed by artificial embolization performed by detachable Gianturco-Anderson-Wallace (GAW) coil. This is the first description of using such a procedure in order to close an AV fistula after thyroidectomy.
PubMed ID
10807065 View in PubMed
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