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March 1963

Congenital Arteriovenous Fistulae of the ExtremitiesObservations Concerning Treatment

Author Affiliations

Instructor in Surgery (Dr. Tice); Associate Professor of Surgery (Dr. Clauss); Assistant Professor of Surgery (Dr. Reed); New York University School of Medicine. Assistant Professor of Surgery (Dr. Keirle); University of Cincinnati College of Medicine.; Department of Surgery, New York University School of Medicine, and Department of Surgery, Cincinnati College of Medicine.

Arch Surg. 1963;86(3):460-465. doi:10.1001/archsurg.1963.01310090110020

Congenital arteriovenous fistulae of the extremity are not rare and continue to challenge the experienced vascular surgeon. Although about 200 cases of arteriovenous fistulae have been reported to date in the American literature, we believe this lesion to be much more common.1-5 Coursely, in reviewing the experience at the Mayo Clinic, reported the largest number of arteriovenous fistulae involving the extremities observed by 1 institution.1 He reported 69 cases seen in 20 years. One-half of these patients had their initial treatment elsewhere. In 1958, Cross added a report of 8 cases all treated by operation.2

More than one-half of the reported cases of congenital arteriovenous fistula involve the extremities. Approximately one-third occur in the upper extremity, but the majority in the lower extremity. The experience of one surgeon or a group of surgeons with this disease is usually small. The reported results of the treatment of multiple

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