title: Surgical treatment for a complex congenital arteriovenous malformation of the lower limb.
abstract: Arteriovenous fistula is defined as an abnormal communication between the arterial and venous systems. The complexity of congenital arteriovenous malformations makes treatment challenging. We present the case of a 23-year-old woman who had a complex congenital arteriovenous malformation in her left leg and a history of 2 unsuccessful coil-embolization procedures. We ligated all the feeding arteries of the arteriovenous malformation in the region of the superficial femoral artery, and the surgery was successful without sequelae. The patient returned 2 years later with thrombosis of the great saphenous vein and underwent a second operation. The thrombosed vein and all varicosities were excised successfully. Surgery can be an effective method for correcting complex congenital arteriovenous malformations, especially in the lower limbs. A 2-staged surgical approach like ours might be a good option in suitable patients.
authors.affiliation: Department of Cardiovascular Surgery (Drs. Goksin, Isikli, and Ozcan), Pamukkale University, 20070 Denizli; and Department of Cardiovascular Surgery (Dr. Boysan), Denizli Government Hospital, 20060 Denizli; Turkey.
authors.forename: Ali Vefa
authors.initials: AV
authors.lastname: Ozcan
authors.affiliation: Department of Cardiovascular Surgery (Drs. Goksin, Isikli, and Ozcan), Pamukkale University, 20070 Denizli; and Department of Cardiovascular Surgery (Dr. Boysan), Denizli Government Hospital, 20060 Denizli; Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Boysan
authors.affiliation: Department of Cardiovascular Surgery (Drs. Goksin, Isikli, and Ozcan), Pamukkale University, 20070 Denizli; and Department of Cardiovascular Surgery (Dr. Boysan), Denizli Government Hospital, 20060 Denizli; Turkey.
authors.forename: Osman Yasar
authors.initials: OY
authors.lastname: Isikli
authors.affiliation: Department of Cardiovascular Surgery (Drs. Goksin, Isikli, and Ozcan), Pamukkale University, 20070 Denizli; and Department of Cardiovascular Surgery (Dr. Boysan), Denizli Government Hospital, 20060 Denizli; Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Goksin
mesh_terms: D000792:Angiography; D001163:Arteriovenous Anastomosis; D001165:Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000002:abnormalities / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D012501:Saphenous Vein / Q000002:abnormalities / Q000601:surgery; D018615:Ultrasonography, Doppler, Color; D014656:Vascular Surgical Procedures / Q000379:methods*; D055815:Young Adult
keywords: Arteriovenous fistula/surgery; arteriovenous malformations/diagnosis/surgery; blood vessels/abnormalities; femoral artery/surgery; leg/blood supply; treatment outcome