Vanwijck R, Dégardin-Capon N
Service de chirurgie plastique, centre des malformations vasculaires, cliniques universitaires Saint-Luc, 10, avenue Hippocrate, 1200 Bruxelles, Belgique.
Ann Chir Plast Esthet. 2006 Aug-Oct;51(4-5):440-6. doi: 10.1016/j.anplas.2006.07.011. Epub 2006 Sep 26.
Arteriovenous malformations are rare high-flow malformations. As other malformations, they are present at birth but may remain quiescent for many years; their flow may speed up quickly consequently on an infection, traumatism or modification of the hormonal climate. A "nidus" appears in the heart of the malformation which acts as a real "turbo" on the blood flow; vascular shunts appear creating ulcerations (vascular steal phenomenon); cardiac failure may be observed. Among all vascular anomalies, arteriovenous malformation is the most dangerous in its evolution which may be fatal. Its control requires prudence and skill.