Abstract
A 53 year old man presented with left cervicofacial swelling and symptoms of congestive cardiac failure five years after a cervical stab injury. Computed tomography angiography revealed internal jugular vein (IJV) dilatation and a fistula between the IJV and left subclavian artery (LSA) at the vertebral artery origin (A, white arrow; white star = engorged IJV). Under local anaesthesia a 10 × 50 mm stent graft (Viabahn; W. L. Gore & Associates, Flagstaff, AZ, USA) was placed in the LSA with an 8 mm occluder (Starway Medical Technology, Beijing, China) used for left vertebral artery sacrifice (B). The patient was discharged with symptom relief.Image 1
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