Case report shows effective treatment of bilateral femoral arteriovenous fistulas in pediatric patients, indicating a combined approach can prevent complications.
Key Points
To describe the management of congenital bilateral femoral arteriovenous fistulas in a child using a combined therapeutic strategy.
Treatment involved surgical ligation on the left side and endovascular coil embolization on the right.
Regular duplex ultrasound examinations were conducted for imaging surveillance.
Patient followed for 10 years post-treatment.
At follow-up, the patient's clinical and echocardiographic status remained normal.
Sustained occlusion of both fistulas was confirmed by ultrasound exams.
The patient remains asymptomatic with no recurrence of symptoms.