Stigall K E, Dorsey J S
U.S. Air Force Medical Center, Keesler Air Force Base, Mississippi 39534-5300.
Am Surg. 1989 Mar;55(3):180-3.
Traumatic arteriovenous (AV) fistulas produce several profound pathophysiologic and structural changes in the circulatory dynamics of the vessels associated with the fistula. Most of the changes are reversible with surgery. However, in longstanding AV fistulas, irreversible degenerative changes occur in the arterial wall and result in dilatation and thrombosis. This can make late closure technically difficult. This report presents a case of peroneal AV fistula of 18 years duration. The diagnosis, management, and complications of long-standing AV fistulas are discussed.
创伤性动静脉瘘会在与瘘管相关的血管循环动力学中引发若干深刻的病理生理和结构变化。大多数变化通过手术是可逆的。然而，在长期存在的动静脉瘘中，动脉壁会发生不可逆的退行性变化，导致扩张和血栓形成。这会使后期闭合在技术上变得困难。本报告介绍了一例病程长达18年的腓骨动静脉瘘病例。讨论了长期动静脉瘘的诊断、治疗及并发症。
