DOI: 10.36347/sjmcr.2020.v08i02.028

Pages: 204-208

An observation of an iliocaval fistula with right cardiac insufficiency was reported 8 years after surgery for a lumbar posterior disc herniation treated by endovascular stent grafting by femoral placement. The postoperative outcomes were favorable. The vascular complications of lumbar disc surgery are uncommon (about 0.04% of discectomies) but are very severe. The most frequent complications are arteriovenous ilio-venous fistulas between the primary right iliac artery and the inferior vena cava. They are enhanced by the close anatomical relationship between the last lumbar vertebrae and the retroperitoneal vessels and the degenerative lesions of the anterior vertebral ligament making its perforation easier during discectomy. Their treatment has become increasingly simple with the progress and innovation of endovascular techniques.