A continuous murmur after surgery for dissecting ascending aortic aneurysm.
We report a case of a subcutaneous arteriovenous fistula that developed after aortic surgery. A careful physical examination and the selective use of imaging tests can differentiate this relatively benign complication from the more serious causes of a continuous murmur in this setting.
Chan
K L
KL
University of Ottawa Heart Institute, Ontario, Canada. kchan@ottawaheart.ca
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology*; D019917:Blood Vessel Prosthesis Implantation; D003937:Diagnosis, Differential; D005260:Female; D006337:Heart Murmurs / Q000209:etiology*; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D013249:Sternum / Q000098:blood supply