Puglionisi A, Di Giovanni V, Snider F, Camilli S, Cina G
J Chir (Paris). 1980 Nov;117(11):607-19.
A patient developed an arteriovenous aneurysm between the gastroduodenal and middle colon arteries and the main mesentericoportal vein, following gastroduodenal resection. This case is described, and patients with arteriovenous fistulae in the portal region reported in the published literature (179 cases) are reviewed. Etiological, pathological, and clinical aspects in relation to surgical treatment and according to the type and location of the lesion, are also discussed. Emphasis is placed on a study of physiopathological problems, and the effects provoked by these fistulae on portal vein hemodynamics, arterial hemodynamic function, and on the general circulation are analyzed in greater detail.
一名患者在胃十二指肠切除术后，在胃十二指肠动脉与中结肠动脉以及肠系膜门静脉主干之间形成了动静脉瘤。本文描述了该病例，并对已发表文献中报道的门静脉区域动静脉瘘患者（179例）进行了回顾。还讨论了与手术治疗相关的病因、病理和临床方面，并根据病变的类型和位置进行了分析。重点是对生理病理问题的研究，并更详细地分析了这些瘘管对门静脉血流动力学、动脉血流动力学功能和全身循环所引发的影响。
