Endovascular treatment of right common iliac artery pseudoaneurysm with arteriovenous fistula to left common iliac vein: Long-term follow-up

We report a case of pseudoaneurysm of the right common iliac artery ruptured into the contra lateral common iliac vein as a rare complication of lumbar disc surgery. A 57-year-old lady developed severe heart failure and features of leg ischaemia on the second postoperative day after L4-L5 laminectomy with discectomy. Detection of a thrill and bruit in the lower abdomen, and evidences from abdominal aortography and multislice CT angiography led to correct diagnosis. She underwent successful endovascular treatment and remained asymptomatic with patent stent and no complications at the end of 6 years follow-up. Endovascular repair using covered stent is a safe, effective and durable method for treating pseudoaneurysm and arteriovenous fistula of iliac artery.