[Post-traumatic arteriovenous fistula between splenic artery and vein as a rare cause of acute myocardial ischemia].
Arteriovenous fistulas of the portal system are rare. Congenital fistulas have to be differentiated from acquired fistulas; the latter are of posttraumatic or iatrogenic origin. The case presented demonstrates a history of diffuse abdominal pain and the first description of myocardial ischemia caused by a posttraumatic splenic arterioportal fistula. After diagnostic and therapeutic difficulties, the definitive treatment consisted in resection of the fistula system including the pancreatic tail.
Günther
K
K
Chirurgische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
Stangl
R
R
Schweiger
H
H
Rupprecht
H
H
D000328:Adult; D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D001164:Arteriovenous Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007422:Intestines / Q000098:blood supply; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D008297:Male; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D010179:Pancreas / Q000098:blood supply; D010180:Pancreatectomy; D011859:Radiography; D012086:Reoperation; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000293:injuries*; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
Posttraumatische arteriovenöse Fistel zwischen Arteria und Vena lienalis als seltene Ursache akuter Myokardischämie.