Spontaneous idiopathic subclavian arteriovenous fistula: a case report.
Systemic arteriovenous (AV) fistulas are a rare but correctable cause of hyperkinetic circulation and congestive heart failure. They are generally due to catheterization procedures, surgery, trauma, or aneurysms. A case of truly spontaneous AV fistula between left subclavian artery and left innominate vein is described. This patient presented with symptoms that might clinically be mistaken for a carpal tunnel syndrome. The discovery of a continuous to-and-fro murmur on her left upper sternal border led to the correct diagnosis. Surgical ligature of the fistula provided complete relief of the woman's symptoms.
Rossi
G
G
Instituti di Medicina Clinica, Università di Padova, Italy.
Miotto
D
D
Bongioví
S
S
Grego
F
F
Nicolosi
G L
GL
Pessina
A C
AC
D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008875:Middle Aged; D013348:Subclavian Artery / Q000000981:diagnostic imaging