Abstract
Arteriovenous fistula (AVF) is an unusual complication of lumbar disc surgery. The clinical manifestations of AVF include swelling of the legs, abdominal pain and intermittent claudication and heart failure with a continuous murmur in the lower part of the abdomen. The diagnosis is often late and the condition erroneously treated as deep venous thrombosis due to leg swelling. We report a 29-year-old male who developed high-output congestive heart failure due to bilateral iliac AVF following lumbar disc surgery and subsequent resolution of heart failure by corrective surgery. Review of the medical literature reveals that this complication is very rare, although it must be considered if a similar presentation is seen. After confirmation of fistula location, treatment consists of fistula closure.
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