[A case of multiple arteriovenous fistulae in a postphlebitic syndrome of longterm evolution].
Authors report a case of a 77-years-old man who, after an accident of traffic on 1968, presented a left ileo-femoral deep venous thrombosis. Consequently, the patient suffered and important postphlebitic syndrome, with several varicose packs which were treated by surgical procedure in other centre. During several years, patient presented severe trophic diseases. Seventeen years after the beginning of his pathology, and during an angiologic examination, multiple arteriovenous fistulas at the left ileofemoral area have been shown. An skeletalization was impossible because of the severe ulcerations of the leg; so a left iliac arterial ligature and a Dacron Banding in primitive iliac artery, reducing a 50% the diameter, were made. The postoperative result was excellent, with an spectacular reduction of the fistulous communications and a complete remission of the cutaneous ulcerations.
Delgado Daza
R
R
Servicio de Angiología y Cirugía Vascular, Hospital de Mutua de Terrassa, Barcelona, España.
Moga Donadeu
L
L
Mañosa Bonamich
J
J
Muncunill Gil
J
J
Vidal Conde
V
V
D000063:Accidents, Traffic; D000368:Aged; D001165:Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D002908:Chronic Disease; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006801:Humans; D007083:Iliac Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D007084:Iliac Vein / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011186:Postphlebitic Syndrome / Q000150:complications* / Q000209:etiology; D011859:Radiography; D012008:Recurrence; D013997:Time Factors; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery
Un caso de múltiples fístulas arteriovenosas en síndrome postflebítico de larga evolución.