J Thorac Cardiovasc Surg 2002;123:575-577
© 2002 The American Association for Thoracic Surgery
A surgically treated arteriovenous fistula between the vertebral artery and internal jugular vein after insertion of a central venous catheter for mitral valve replacement
Zsolt Antal Varga, MD PhDa,
Ivan Gyõri-Molnár, MDb,
Lajos Kollár, MD PhDa,
Lajos Papp, MD DSc FACAb Pécs Hungary
From the Department of Surgery and Vascular Surgery, a Baranya County Hospital, University of Pécs, Faculty of Medicine, and the Heart Institute and University of Pécs,b Faculty of Medicine, Pécs, Hungary.
Received for publication May 29, 2001; accepted for publication July 24, 2001.
Address for reprints: Zsolt Antal Varga, MD, PhD, Department of Surgery and Vascular Surgery, Baranya County Hospital, University of Pécs, Faculty of Medicine, 2 Rákóczi u. Pécs 7623, Hungary (E-mail: zsolt55@hotmail.com).
Acase of iatrogenic arteriovenous (AV) fistula with mild symptoms is presented.
Clinical summary
A 57-year-old woman was seen for mild dyspnea and a locomotive murmur, which was heard by the patient in the horizontal position in her right ear right after her cardiac operation. Mitral valve replacement with myocardial pacemaker implantation and aortic valvuloplasty had been performed for grade III-IV mitral valve insufficiency 6 weeks before her presentation. For that operation, central venous monitoring was achieved by right internal jugular vein puncture. No complications developed during anesthesia or surgery. At examination, a 2-mm puncture site scar was seen at the typical site and a locomotive murmur was heard and could be palpated on the right side of the neck. Dilation of the superficial venous network was not seen. A duplex sonogram showed an arterial jet in the internal jugular vein, but the exact site of the AV communication could not be visualized. The patient was hospitalized, warfarin . . . [Full Text of this Article]
Copyright © 2002 by The American Association for Thoracic Surgery.
