A case of vertebral arteriovenous fistula (VAF) caused by an angiograp
hic catheter during coronary angiography in a 30-year-old female is pr
esented. The patient complained about a roaring noise in her left ear.
Preoperative and postoperative angiographic verification of the lesio
n is presented. The patient was treated by a direct surgical trapping
of the vertebral artery (VA) proximal and distal to the fistula.