Abstract
An 83−year old patient who had undergone coronary artery bypass grafting and several cardiac catheterisations was referred with fatigue and vertigo. Physical examination revealed a thrill in the groin. Duplex ultrasound, computed tomography angiography, and (A) digital subtraction angiography showed a short neck, high flow arteriovenous fistula (AVF) between the deep femoral artery (DFA) and common femoral vein (CFV). Coil embolisation was planned but not carried out owing to the short fistula neck. (B) The AVF, which consisted of a small vein crossing the DFA, most probably caused post-catheterisation, was ligated successfully. The patient remains asymptomatic.Image 1
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