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November 4, 1950

ARTERIOVENOUS FISTULA OF THE AORTIC ARCH: Report of a Case with Successful Treatment

Author Affiliations

West Palm Beach, Fla.

From the Surgical Service, Lawson Veterans Administration Hospital, Chamblee, Ga., and the Emory University School of Medicine, Emory University, Ga.

JAMA. 1950;144(10):818-819. doi:10.1001/jama.1950.02920100006002

Arteriovenous communications involving almost every vessel in the body have been reported, and successful treatment has been possible in many instances of involvement of large arterial trunks. Injury of the aorta is rarely compatible with life; therefore fistulas rarely develop there. Two reports of successful treatment of arteriovenous fistulas of the abdominal aorta have been made.1 No report of arteriovenous fistula due to trauma involving the thoracic aorta has been found in the literature. The purpose of this paper is to report an incident of arteriovenous fistula involving the arch of the thoracic aorta, together with observations made before and after successful treatment.

REPORT OF A CASE  A 25 year old former railroad employee was admitted to the hospital Feb. 3, 1949 complaining of shortness of breath, swelling of the abdomen and legs and a buzzing sensation in the head. In November 1946 the patient was in an accident