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Angiology
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Spontaneous Idiopathic Subclavian Arteriovenous Fistula: A Case Report

GianPaolo Rossi

Istituti di Medicina Clinica, Clinica Medica 1, Universitá di Padova

Diego Miotto

Radiologia, Universitá di Padova

Stefano Bongiovi

Istituti di Medicina Clinica, Clinica Medica 1, Universitá di Padova

Franco Grego

Chirurgia Vasolare I dell'Universitá di Padova

Gian Luigi Nicolosi

Divisione di Cardologia Ospedale Civile di Pordenone, Italy

Achille C. Pessina

Istituti di Medicina Clinica, Clinica Medica 1, Universitá di Padova

Systemic arteriovenous (AV) fistulas are a rare but correctable cause of hyperkinetic circulation and congestive heart failure. They are generally due to catheterization procedures, surgery, trauma, or aneurysms. A case of truly spontaneous AV fistula between left subclavian artery and left innominate vein is described. This patient presented with symptoms that might clinically be mistaken for a carpal tunnel syndrome. The discovery of a continuous to-and-fro murmur on her left upper sternal border led to the correct diagnosis. Surgical ligature of the fistula provided complete relief of the woman's symptoms.

Angiology, Vol. 43, No. 8, 672-677 (1992)
DOI: 10.1177/000331979204300807
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