Acute and Chronic Traumatic Arteriovenous Fistulae in Civilians

Kollmeyer, Kenneth R.

doi:10.1001/archsurg.1981.01380170169030

Cited by 62 publications

(35 citation statements)

References 13 publications

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“…3,4) In this article, a case of right-sided heart failure associated with pulmonary hypertension due to AVF probably caused by a central venous catheter introduced during repair of atrial septal defect (ASD) and ventricular septal defect (VSD) and late diagnosis with catheterisation is reported.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Pulmonary Hypertension As a Result of Arteriovenous Fistula After Cardiac Surgery

et al. 2005

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SUMMARYA 19 year-old woman who underwent corrective surgery for an atrial septal defect (ASD) and ventricular septal defect (VSD) 12 years previously presented with pulmonary hypertension. Cardiac catheterization showed a fistula between the right subclavian artery and vena jugularis interna. In this case, a rare example of secondary pulmonary hypertension due to acquired arteriovenous fistula after cardiac surgery is presented. (Int Heart J 2005; 46: 551-556) Key words: Pulmonary hypertension, Arteriovenous fistula SECONDARY pulmonary hypertension is defined as a pulmonary artery systolic pressure higher than 30 mmHg or a pulmonary artery mean pressure higher than 20 mmHg secondary to either a pulmonary or a cardiac disorder. Rarely arteriovenous fistula (AVF) is a cause of pulmonary hypertension.1) An AVF can either be congenital or acquired. Congenital fistulas are a result of a pause in vascular system development.2) Acquired fistulas are usually due to blunt and penetrating traumas. 3,4) In this article, a case of right-sided heart failure associated with pulmonary hypertension due to AVF probably caused by a central venous catheter introduced during repair of atrial septal defect (ASD) and ventricular septal defect (VSD) and late diagnosis with catheterisation is reported. CASE REPORTA 19 year-old woman presented with dyspnea on exertion, fatigue, and lower extremity edema for the preceding 3 months. She had undergone cardiac surgery for repair of ASD and VSD 12 years earlier. Right ventricular failure was suspected and she was hospitalized.From the

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Pulmonary Hypertension As a Result of Arteriovenous Fistula After Cardiac Surgery

et al. 2005

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“…Even though it is likely that with time endovascular embolization will become the preferred way of treating VAF it is important to realize that a safe embolization requires a considerable degree of expertise and that embolization per se is not without risks or complications 6, ~v, 22,41 VAF are, when diagnosed in time and treated, early relative benign lesions with a favourable outcome. When diagnosis and/or treatment are delayed their management become more complicated and risky.…”

Section: Discussionmentioning

confidence: 99%

Vertebral arteriovenous fistulae. Report of two cases and review of the literature

1989

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Two patients with vertebral arteriovenous fistulae were treated at the Neurosurgical Clinic of the City Hospital of Hannover between 1981 and 1988. Both patients were males, 19 and 29 year old. The fistulae were secondary to cervical gunshot wounds. Both patients complained of a loud cephalic noise; 1 patient had a non pulsating neck mass. A systolic cervical bruit was heard in both cases. One patient had an incomplete mid-cervical Brown-Sequard syndrome. The fistulae involved the second portion of the vertebral artery: 1 fistula was fed, in addition to the vertebral artery, by the deep cervical artery. Venous drainage was through intraspinal plexus, vertebral vein, deep cervical veins and internal jugular vein. One patient was treated with a direct surgical trapping of the vertebral artery proximal and distal to the fistula: the other patient, in addition to direct surgical vertebral artery trapping, received an endovascular balloon occlusion of the deep cervical artery. After treatment the fistulae disappeared, both clinically and angiographically.

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“…These lesions require prompt treatment. The treatment is relatively simple if the interval between injury and operation is not long [8,14,[25][26][27][28][29][30][31]. Primary arterial repair without grafting is usually not feasible in late-presenting cases owing to the chronic nature of the FTA and the presence of fibrosis and inflammation.…”

Section: Natural History and Treatmentmentioning

confidence: 99%

“…In the case of a small aneurysm, resection and primary end-toend repair can be the safest alternative, although some advocate graft interposition [32]. The material of choice for repair is autologous saphenous vein [8,26,[28][29][30][31][32]. The use of synthetic grafts is not recommended during the early phase because of infection.…”

Section: Natural History and Treatmentmentioning

confidence: 99%