Document Detail

Late-onset congestive heart failure with multiple carotid-jugular fistulae and pseudoaneurysm after penetration injury.
MedLine Citation:
PMID:  17000458     Owner:  NLM     Status:  MEDLINE    
Trauma-acquired multiple arteriovenous fistulae with late-onset congestive heart failure has not been documented. We describe a 29-year-old man who presented with progressive congestive heart failure 25 years after a penetrating trauma to the left side of the neck. The neck duplex showed a large shunt between the carotid artery and internal jugular vein. Arteriography showed three high-flow arteriovenous fistulae between these two vessels. Magnetic resonance angiography (MRA) showed a carotid pseudoaneurysm originating from three different loci of the carotid artery with a large aneurysm-venous communication between the pseudoaneurysm and the internal jugular vein. Reconstruction of contrast MRA showed three different arteriovenous fistulae, leading to the decision to perform aneurysmectomy, carotid artery repair and jugular vein patch angioplasty. The favorable outcome of this case illustrates that surgery is a reasonable alternative when an endovascular approach is not feasible in patients with trauma-acquired arteriovenous fistulae.
Ju-Yi Chen; Shih-Hung Chan; Li-Jen Lin; Chwan-Yau Luo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  105     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-09-26     Completed Date:  2006-11-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China    
Other Details:
Languages:  eng     Pagination:  844-7     Citation Subset:  IM    
Division of Cardiology, Department of Internal Medicine, National Cheng Kung University Medical Center, 138 Sheng Li Road, Tainan 704, Taiwan.
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MeSH Terms
Aneurysm, False / diagnosis,  etiology*,  surgery
Arteriovenous Fistula / diagnosis,  etiology*,  surgery
Carotid Artery Diseases / diagnosis,  etiology,  surgery
Carotid Artery Injuries / complications*,  diagnosis,  surgery
Diagnosis, Differential
Follow-Up Studies
Heart Failure / diagnosis,  etiology*
Jugular Veins / injuries*
Magnetic Resonance Angiography
Neck Injuries / complications*,  diagnosis,  surgery
Trauma Severity Indices
Ultrasonography, Doppler, Duplex
Vascular Surgical Procedures
Wounds, Penetrating / complications*,  diagnosis,  surgery

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