An unexpected complication: Acute recanalization of carotico-jugular arteriovenous fistulas previously treated by endovascular therapy

Abstract

Traumatic arteriovenous fistulas of the neck are treated by the endovascular method or by open surgery according to the clinical presentation of the patient and the degree of emergency. This case report concerns two delayed onset neck fistulas, one between the right common carotid artery and the right internal jugular vein, and the other between the facial artery and the right jugular vein, caused by a previous penetrating neck trauma. Initially, the AV fistula was treated by endovascular intervention using multiple vascular plugs and a covered stent. In this case report, we describe the surgical method we performed on a patient who applied to the emergency department with syncope due to acute recanalization of the old fistula tract four years later.