Turgeman Y, Rosenfeld T
Harefuah. 1989 Jan 1;116(1):41-3.
Gunshot wounds and traumatic injuries are the main causes of acquired arteriovenous fistulas. The high cardiac output associated with such fistulas depends mainly on the size of the pathological communication and the degree of reduction in the systemic vascular resistance that results. Since the findings on cardiac examination in these patients may mimic those of valvular heart disease or dilated cardiomyopathy, careful attention should be paid to noncardiac physical findings, such as thrill and/or continuous murmur over the traumatic or surgical scar. We describe a 64-year-old man who developed severe left heart failure 39 years after a gunshot injury in the left lower quadrant of the abdomen. This had led to an acquired arteriovenous fistula between the left internal iliac artery and the left common iliac vein.
枪伤和创伤性损伤是后天性动静脉瘘的主要原因。此类瘘管相关的高心输出量主要取决于病理性分流的大小以及由此导致的体循环血管阻力降低的程度。由于这些患者的心脏检查结果可能类似于瓣膜性心脏病或扩张型心肌病的表现，因此应仔细关注非心脏体格检查结果，例如创伤或手术瘢痕处的震颤和/或连续性杂音。我们报告一例64岁男性，其在左下腹部枪伤39年后出现严重左心衰竭。这导致了左髂内动脉与左髂总静脉之间形成后天性动静脉瘘。
