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Subclavian arteriovenous fistulas (AVFs) are rare entities, mostly reported as a result of traumatic and iatrogenic injuries. In the literature, congenital subclavian AVFs are also presented. Diagnosis of traumatic AVF may present challenges given the variable clinical presentation, varying location, and difficulty to locate on imaging.

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First described by Virchow in the 19th century, intracranial arteriovenous malformations (AVMs) are complex, tangle-shaped vascular lesions with a number of associated neuroparenchymal, hemodynamic, and angio-architectural changes. However, the clinical description of extracranial AVMs dates back to the Ebers Papyrus (c. 1500 BC), with a still unknown definitive underlying etiology thus far.

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Post traumatic lymphedema (PTL) is a known complication of extremity trauma that is detrimental to limb form and function, healing, and quality of life. In cases of complex lower extremity trauma with vascular and extensive soft tissue injury, the risk of PTL is increased. However, many trauma patients are lost to follow-up, making the risk and potential management of these patients' lymphedema difficult to characterize.

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A traumatic arteriovenous fistula causing venous insufficiency.

J Surg Case Rep

August 2024

Vascular and Transplant Unit, Colombo North Teaching Hospital, Ragama, 11010, Srilanka.

Article Synopsis
  • Chronic leg ulcers can happen from untreated arteriovenous fistula (AVF) and are usually rare and hard to notice.
  • A 31-year-old man had a gunshot injury 12 years ago, resulting in a leg ulcer that lasted 2 years.
  • After surgery to fix the AVF, the ulcer healed completely in 6 months, showing that catching these issues early is very important to avoid more problems.
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High-output cardiac failure is a less prevalent form of heart failure. Most patients with heart failure are typically categorized as having either systolic or diastolic dysfunction with elevated systemic vascular resistance. Individuals with high-output cardiac failure exhibit normal cardiac function and decreased systemic vascular resistance.

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