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A survey of the literature gives the impression that congenital arteriovenous fistula is a rare anomaly. Callander,1 in 1920, in a comprehensive review of 447 cases of arteriovenous fistula, found only three cases to be congenital in origin. Lewis,2 in 1930, reviewed from the literature only twenty-four cases of congenital arteriovenous fistula; to these he added six cases of his own. Aside from the reports of Pemberton and Saint,3 in 1928, and Lewis, various writers have reported an average of one or two cases. Callander gave Bushe the credit for describing the first case in 1827, while Lewis referred to Letenneur's case, in 1859, as being the first recorded. It is, of course, difficult to determine whether many of the earlier cases should be classified as congenital arteriovenous fistula because of meager data.
Arteriovenous fistulas are of two types: congenital and acquired. In the congenital type, the
HORTON BT. HEMIHYPERTROPHY OF EXTREMITIES ASSOCIATED WITH CONGENITAL ARTERIOVENOUS FISTULA. JAMA. 1932;98(5):373–379. doi:10.1001/jama.1932.02730310013003
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