David Rosenthal, M. D. , Robert G. Ellison, M. D. , J. Patrick Luke, M

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Presentation transcript:

Traumatic superior mesenteric arteriovenous fistula: Report of a case and review of the literature David Rosenthal, M.D., Robert G. Ellison, M.D., J.Patrick Luke, M.D., Michael D. Clark, M.D., Pano A. Lamis, M.D. Journal of Vascular Surgery Volume 5, Issue 3, Pages 486-491 (March 1987) DOI: 10.1016/0741-5214(87)90062-0 Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Aortogram demonstrates rapid visualization of the portal vein (PV) “filling” from the superior mesenteric artery (SMA). A false abdominal aortic aneurysm is also identified (arrow). Journal of Vascular Surgery 1987 5, 486-491DOI: (10.1016/0741-5214(87)90062-0) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Postoperative superior mesenteric arteriogram shows persistent arteriovenous fistula to the portal vein (arrow). The false aneurysm has been replaced by an aortic graft. Journal of Vascular Surgery 1987 5, 486-491DOI: (10.1016/0741-5214(87)90062-0) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Postoperative selective superior mesenteric injection shows residual fistula to portal vein (arrow). Journal of Vascular Surgery 1987 5, 486-491DOI: (10.1016/0741-5214(87)90062-0) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Superior mesenteric arteriogram demonstrates ablation of fistula by Gelfoam plug and coils. Journal of Vascular Surgery 1987 5, 486-491DOI: (10.1016/0741-5214(87)90062-0) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Aortogram performed before discharge shows no arteriovenous fistula and a patent aorto—superior mesenteric artery bypass. Journal of Vascular Surgery 1987 5, 486-491DOI: (10.1016/0741-5214(87)90062-0) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions