DOI: 10.36347/sasjs.2020.v06i03.011

Pages: 133-137

Two observations of vascular complications after surgery for lumbar posterior disc herniation are reported. The first of a retroperitoneal hematoma with lower limb ischemia on lesion of the primitive iliac artery treated surgically by transposition of the superficial femoral artery and replacement of the latter by an inverted long saphenous vein graft. And the second observation of an iliocaval fistula with predominantly right-sided heart failure treated by a femoral stent. Vascular complications of lumbar disc surgery are rare (about 0.04% of discectomies) but of a great severity. The lesions observed are very different on both anatomically and clinically sides. Their diagnosis is frequently unknown at the time of the operation and it is sometimes only after several years that they are discovered, especially for non-hemorrhagic forms: arteriovenous fistulas. The treatment is essentially surgical but recently endovascular treatment has been successfully performed several times.Through these two observations the circumstances of occurrence will be recalled, the different clinical forms and therapeutic procedures according to the way in which these complications will be then presented.