Traumatic Arteriovenous Fistula 50 Years after Injury

Abstract

Conclusions:Fistula repair and wide debridement of infected tissue and graft with extra-anatomic bypass are the preferred treatment for infected aortoenteric fistulae. In this case, the external Dacron graft was debrided, and internal endograft was left in place because of the patient's grave status and multiple comoribidities.

High-output heart failure resulting from a traumatic arteriovenous fistula

“…1 A duplex scan can be useful in documenting the presence of a fistula; computed tomography scans have also been used to detect an AVF. 2 Treatment includes surgical closure of the fistula when endovascular repair is not possible. The intent is to separate the vein and the artery and maintain their continuity.…”

“…1 Depending on the anatomy of the fistula, running sutures, ligation, resection with end-to-end anastomosis, or grafting have been used. 2 However, the endovascular approach may offer an alternative, less-invasive option for occlusion of these AVFs. 3…”