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Case Reports
. 2021 Nov 29;85(4):399-401.
doi: 10.5935/0004-2749.20220057. eCollection 2021.

Delayed care in carotid-cavernous fistula due to the Covid-19 pandemic

Affiliations
Case Reports

Delayed care in carotid-cavernous fistula due to the Covid-19 pandemic

Facundo Urbinati et al. Arq Bras Oftalmol. .

Abstract

Direct carotid-cavernous fistula is a high-flow communication between the internal carotid artery and the cavernous sinus that requires early transarterial embolization for its resolution. We report a case of a patient with a direct carotid-cavernous fistula who subsequently developed a central retinal vein thrombosis due to a delay in treatment related to the health collapse experienced in the first months of the Covid-19 pandemic in Spain.

A fístula carótido-cavernosa direta é uma comunicação de alto fluxo entre a artéria carótida interna e o seio cavernoso que requer embolização trans-arterial precoce para sua resolução. É relatado aqui o caso de um paciente com fístula carótido-cavernosa direta que posteriormente desenvolveu uma trombose da veia central da retina devido a um atraso no tratamento relacionado ao colapso de saúde experimentado nos primeiros meses da pandemia de Covid-19 na Espanha.

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Conflict of interest statement

Disclosure of potential conflicts of interest: None of the authors have any potential conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Computerized axial tomography with contrast showing an increase in the caliber of the right superior ophthalmic vein (red arrow) accompanied by ipsilateral exophthalmos.

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