And so they said.

AORTOILIAC ANGIOGRAM AND EMBOLISATION

Referral Notes: Chronic aortic dissection. Also has a ?left internal iliac artery to vein fistula.
Report: Initial angiography from the right groin demonstrated a chronic left sided aortic dissection beginning just below the renal arteries and extending virtually the full length of the infrarenal aorta. This seems to fill and clear with arterial flow suggesting it has both inflow and outflow connections. The outflow appears to be into the left common iliac artery.
Also noted was rapid filling of a left sided and duplicated inferior vena cava. This is caused by arteriovenous malformation in the left side of the pelvis that is supplied by both anterior and posterior divisions of the internal iliac artery. A branch feeding the malformation exclusively was selectively catheterised using a coaxial microcatheter system and this was partially embolised using 4ml of absolute alcohol. Some flow persisted in the channels following the procedure.
Comment: Treating this will require multiple presentations for both selective catheterisation and direct injection. Of concern is the proximity of the sciatic nerve and the potential for embolic damage to this structure.
Thank you for referring this patient.

The team then got together for a discussion about this parlous state and report.

A visit to the specialist, resulted in a decision not to carry out any further treatment for the next twelve months unless there any further problems arise.

I have apparently had all this peculiar internal plumbing from the date of birth, and it has only now come to attention because of all the scans and tests I have been subjected to.

So it seems like I have been given a "clean bill of health"

A student sat in with the specialist doctor on this latest consultation, and probably it was a good/useful consultation to attend.

Hope this all makes sense, but when they start talking in medical terms, it get's away from the real world.

Until Next Posting.