Unusual complication of total thyroidectomy: arteriovenous fistula

We describe the case of a 29-year-old woman from the Chernobyl area, who moved to the Czech Republic 10 years after the Chernobyl nuclear disaster. She was evaluated for a large goiter. Fine-needle aspiration cytology indicated a diagnosis of a typical degenerated Hurthle cell adenoma. She underwent...

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Published inThyroid (New York, N.Y.) Vol. 10; no. 4; p. 359
Main Authors Jensovsky, J, Markova, H, Bohutova, J
Format Journal Article
LanguageEnglish
Published United States 01.04.2000
Subjects
Adenoma, Oxyphilic - etiology
Adenoma, Oxyphilic - surgery
Adult
Arteriovenous Fistula - etiology
Arteriovenous Fistula - therapy
Embolization, Therapeutic - instrumentation
Embolization, Therapeutic - methods
Female
Humans
Jugular Veins
Neoplasms, Radiation-Induced - etiology
Neoplasms, Radiation-Induced - surgery
Postoperative Complications - etiology
Postoperative Complications - therapy
Radioactive Hazard Release
Thyroid Neoplasms - etiology
Thyroid Neoplasms - surgery
Thyroidectomy - adverse effects
Ukraine
Ukraine
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Summary:We describe the case of a 29-year-old woman from the Chernobyl area, who moved to the Czech Republic 10 years after the Chernobyl nuclear disaster. She was evaluated for a large goiter. Fine-needle aspiration cytology indicated a diagnosis of a typical degenerated Hurthle cell adenoma. She underwent total thyroidectomy but a continual loud murmur was found 1 month after surgery. An arteriovenous (AV) fistula between the right thyrocervical trunk and the right jugular vein was proven angiographically. This fistula was successfully closed by artificial embolization performed by detachable Gianturco-Anderson-Wallace (GAW) coil. This is the first description of using such a procedure in order to close an AV fistula after thyroidectomy.
ISSN:1050-7256
DOI:10.1089/thy.2000.10.359