Shimizu Y, Onuma T, Kagawa S, Kanno M
No Shinkei Geka. 1985 Feb;13(2):233-7.
A rare case of traumatic AV fistula of the deep temporal artery is reported. The patient, a 33 years old male, struck his forehead and left temporal region in a traffic accident on March 30, 1983. He noticed the swelling at his temporal region 5 days after the accident as it became pulsative and enlarged. He was admitted on May 23 and left external carotid angiography revealed an AV fistula which was fed by the deep temporal artery and drained into the superficial temporal vein. The operation was performed on May 27 and showed that the AV fistula was not in the subcutaneous tissue, but buried in the temporal muscle. Total extirpation was performed. Postoperative course was uneventful and he was discharged on June 10. Microscopic examination of the AV fistula demonstrated some traumatic findings, such as tear of the wall of vein, thrombosed artery and an aneurysm-like protrusion of the wall of the artery.
报告了一例罕见的颞深动脉创伤性动静脉瘘病例。患者为一名33岁男性，于1983年3月30日在交通事故中前额及左颞部受伤。事故5天后，他注意到颞部肿胀，且肿胀变得有搏动性并增大。5月23日入院，左颈外动脉血管造影显示存在一个由颞深动脉供血并引流至颞浅静脉的动静脉瘘。5月27日进行了手术，结果显示动静脉瘘不在皮下组织，而是埋于颞肌内。进行了完整切除。术后过程顺利，患者于6月10日出院。对动静脉瘘的显微镜检查显示了一些创伤性表现，如静脉壁撕裂、动脉血栓形成以及动脉壁的动脉瘤样突出。
