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Aortoiliakale Verschlußprozesse pp 295–302Cite as

42 Jahre lang bestehende, traumatisch bedingte arteriovenöse Fistel der Beckengefäße mit Aneurysma der Beckenarterie

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Part of the book series: Berliner Gefäßchirurgische Reihe ((BERLINGEFÄß,volume 4))

Summary

The clinical picture of arteriovenous fistula (avf) is represented with respect to etiology, pathophysiology, diagnostic measures, and therapy. After providing a historical review of the developments of the surgical therapy the case history of a patient is presented who suffered from severe cardio-vascular decompensation due to a traumatic avf of the iliac vessels which was acquired 42 years ago. Additionally, the severely elongated and dilated afferent artery showed a large aneurysm. The surgical procedure of resection of avf and reconstruction of arterial and venous continuity is described. The principles and indications of various established surgical procedures are discussed.

Zusammenfassung

Das Krankheitsbild der arteriovenösen Fistel (avF) wird hinsichtlich Ätiologie, Pathophysiologie, Diagnostik und Therapie dargestellt. Nach einem historischen Überblick über die Fortschritte der chirurgischen Therapie wird die Kasuistik eines Patienten mit einer 42 Jahre lang bestehenden traumatisch erworbenen avF der Beckengefäße mit extremer kardiovaskulärer Dekompensation vorgestellt. Es bestand zusätzlich ein Aneurysma der stark elongierten und dilatierten afferenten A. iliaca. Die chirurgische Therapie durch Resektion der avF und Rekonstruktion von arterieller und venöser Strombahn wird beschrieben. Die Prinzipien und Indikationen verschiedener etablierter Operationsverfahren werden erläutert.

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Literatur

  1. Beall AC, Harrington OB, Crawford ES, De Bakey ME (1963) Surgical management of traumatic arteriovenous aneurysms. Am J Surg 106: 610–618

    Article  PubMed  Google Scholar 

  2. Bickham WS (1904) Arteriovenous Aneurism. Ann Surg 39: 767

    Article  PubMed  CAS  Google Scholar 

  3. Bramann F (1886) Das arteriell-venöse Aneurysma. Langenbecks Arch Klin Chir 33: 1

    Google Scholar 

  4. Branham HH (1890) Aneurysmal varix of the femoral artery and vein following a gunshot wound. Int J Surg 3: 250

    Google Scholar 

  5. Breschet G (1833) Mémoire sur les anevrysmes. Mém Acad Med (Paris) 3: 101

    Google Scholar 

  6. Clark RA, Gallant TE, Alexander ES (1983) Angiographic management of traumatic arteriovenous fistulas: clinical results. Radiology 147: 9–13

    PubMed  CAS  Google Scholar 

  7. De Bakey ME, Simeone FA (1946) Battle injuries of arteries in World War II: An Analysis of 2,471 Cases. Ann Surg 123: 534

    Article  Google Scholar 

  8. Grace DM, Pitt DF, Gold RE (1976) Vascular embolization and occlusion by angiographic techniques as an aid or alternative to operation. Surg Gynecol Obstet 143: 469–482

    PubMed  CAS  Google Scholar 

  9. Hatch WD, Pentecost MJ, Colletti PM, Weaver FA (1991) Magnetic resonance imaging of a posttraumatic arteriovenous fistula in the lower extremity. Magn Reson Imaging 9: 459–62

    Article  PubMed  CAS  Google Scholar 

  10. Heberer G (1961) Probleme der Spätoperation traumatischer arteriovenöser Fisteln. Langenbecks Arch Klin Chir 298: 354–363

    Article  CAS  Google Scholar 

  11. Heberer G, Rau G (1962) Gefäßersatz bei traumatischen arteriovenösen Fisteln mit vasculärer Dekompensation. Langenbecks Arch Klin Chir 300: 717–737

    Article  Google Scholar 

  12. Holman E (1937) Arteriovenous aneurysms: Abnormal communication between arterial and venous circulations. The MacMillan Company, New York

    Google Scholar 

  13. Hughes CW, Jahnke EJ Jr (1958) The surgery of traumatic arteriovenous fistulas and aneurysms: A five year follow-up study of 215 lesions. Ann Surg 148: 790

    Article  PubMed  CAS  Google Scholar 

  14. Hunter W (1757) The history of an aneurysm of the aorta, with some remarks on aneurysms in general. Med Obs Soc Phys Lond 1: 323

    Google Scholar 

  15. Joos FE, Basyn MLJ, Michielsen P (1989) An unusual type of arterio-venous fistula: A anaplastic sarcoma of the femoral artery. J Cardiovasc Surg 30: 348–352

    Google Scholar 

  16. Lexer E (1907) Die ideale Operation des arteriellen und des arteriell-venösen Aneurysmas. Verh dtsch Ges Chir 36: 215

    Google Scholar 

  17. Linder F (1951) 30 Jahre bestehende arteriovenöse Fistel der A. femoralis mit sekundärem Aneurysma der V. iliaca. Heilung durch Operation. Chirurg 22: 77–79

    PubMed  CAS  Google Scholar 

  18. Matas R (1903) An operation for radical cure of aneurysm based on arteriorrhaphy. Ann Surg 39: 161

    Google Scholar 

  19. McNeese S, Finck E, Yellin AE (1980) Definitive treatment of selected vascular injuries and posttraumatic arteriovenous fistulas by arteriographic embolization. Am J Surg 140: 252–259

    Article  PubMed  CAS  Google Scholar 

  20. Mestres CA, Ninot S, Guerola M, Morales MA, Mulet J (1987) Spontaneous ileocaval arteriovenous fistula: the case for differential diagnosis. Br J Surg 74: 1178–1179

    Article  PubMed  CAS  Google Scholar 

  21. Murphy JB (1897) Resection of arteries and veins injured in continuity — end-to-end suture -experimental and clinical research. Med Rec 51: 73

    Google Scholar 

  22. Nicoladoni C (1875) Phlebarteriectasie der rechten oberen Extremität. Langenbecks Arch Klin Chir 18: 252

    Google Scholar 

  23. Norris G (1843) Varicose aneurysm at the bend of the arm: Ligature of the artery above and below the sac; secondary hemorrhages with a return of the aneurysm thrill on the tenth day; cure. Am J Med Sci 5: 17

    Google Scholar 

  24. Rau G, Heberer G (1961) Die vascular und kardial dekompensierte Form der arterio-venöse Fistel traumatischer Genese. I. Pathophysiologie und Symptomatik. Langenbecks Arch Klin Chir 297: 424–444

    Article  CAS  Google Scholar 

  25. Rich NM, Spencer FC (1978) Vascular trauma. W B Saunders Company, Philadelphia London Toronto, pp 191–232

    Google Scholar 

  26. Shumacker HBJr (1948) The problem of maintaining the continuity of the artery in the surgery of aneurysms and arteriovenous fistulae: Notes on the development and clinical application of methods of arterial suture. Ann Surg 127:207

    Article  CAS  Google Scholar 

  27. Shumacker HBJr (1970) Aneurysm development and degenerative changes in dilated artery proximal to arteriovenous fistula. Surg Gynecol Obstet 130: 636–640

    PubMed  Google Scholar 

  28. Vollmar J (1960) Zentrale Gefäßektasien bei lange bestehenden arteriovenösen Fisteln. Langen-becks Arch Klin Chir 294: 627–644

    Article  CAS  Google Scholar 

  29. Vollmar J (1964) Traumatische arteriovenöse Fisteln. Zentralbl Chir 50: 1930–1939

    Google Scholar 

  30. Vollmar J (1982) Rekonstruktive Chirurgie der Arterien. Georg Thieme Verlag, Stuttgart New York, S 203–243

    Google Scholar 

  31. Walstra BR, Janevski BK, Jorning PJ (1989) Primary arteriovenous fistula between common iliac vessels: ultrasound, computer tomographic, and angiographic findings — a case report. Angio-logy 40: 222–226

    CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Abteilung Gefäßchirurgie, Humboldt-Universität zu Berlin, Deutschland

    Dr. R. I. Rückert & K. Bürger

  2. Abteilung für Gefäßchirurgie Zentrum für Chirurgie (Charité), Humboldt-Universität zu Berlin, Schumann-Straße 20/21, O-1040, Berlin, Deutschland

    Dr. R. I. Rückert

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  1. Dr. R. I. Rückert
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  2. K. Bürger
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Editors and Affiliations

  1. Universitätsklinikum Rudolf Virchow Standort Charlottenburg, Freie Universität Berlin, Spandauer Damm 130, 1000, Berlin 19, Deutschland

    W. Hepp

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© 1992 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt

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Rückert, R.I., Bürger, K. (1992). 42 Jahre lang bestehende, traumatisch bedingte arteriovenöse Fistel der Beckengefäße mit Aneurysma der Beckenarterie. In: Hepp, W. (eds) Aortoiliakale Verschlußprozesse. Berliner Gefäßchirurgische Reihe, vol 4. Steinkopff. https://doi.org/10.1007/978-3-642-72484-8_38

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  • DOI: https://doi.org/10.1007/978-3-642-72484-8_38

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-642-72485-5

  • Online ISBN: 978-3-642-72484-8

  • eBook Packages: Springer Book Archive

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