Document Detail

The syndrome of spontaneous iliac arteriovenous fistula: a distinct clinical and pathophysiologic entity.
MedLine Citation:
PMID:  3952659     Owner:  NLM     Status:  MEDLINE    
While the development of a spontaneous iliac arteriovenous fistula is an uncommon complication of arteriosclerotic aneurysmal disease, its association with a distinct clinical syndrome allows timely operative intervention for this potentially life-threatening event. A review of cases reported in the literature reveals a triad of symptoms consistently associated with the presence of a spontaneous iliac arteriovenous fistula: high-output cardiac failure of precipitous onset, a pulsatile abdominal mass accompanied by a thrill and bruit, and unilateral lower-extremity ischemia or venous engorgement. Survival may be anticipated if an aggressive diagnostic and operative approach is employed.
C E McAuley; A B Peitzman; E J deVries; M R Silver; D L Steed; M W Webster
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery     Volume:  99     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1986 Mar 
Date Detail:
Created Date:  1986-04-04     Completed Date:  1986-04-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  373-7     Citation Subset:  AIM; IM    
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MeSH Terms
Arteriovenous Fistula / complications,  diagnosis*,  surgery
Heart Failure / etiology
Iliac Artery*
Iliac Vein*
Ischemia / etiology*
Leg / blood supply*

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