The clinical, arteriographic and histological study of 5 cases of monomelic congenital arterio-venous fistulas proposes some findings about their pathoge netic thesis.
The association of arterial fibroplasia and congenital arterio-venous fistula is seen as caused by hemodynamic alteration and particularly by the embryoge netic changes which occur simultaneously.
These observations suggest the presence of a syndrome with characteristic monomelic anomalies.
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References
1.
Andre' JM: Les dysplasies vasculaire systématisées. 1° Vol. Paris, Expansion Scientifique Française , 36-38, 1973.
2.
Descotes J., Vieville CH, Loire R.: Aneurisme congenital axillaire associé a un angiome profond de l'avantbras, resection, greffe de l'ectasie axillaire. Societé de Chirurgie de Lion, 1965.
3.
Descotes J., Pelissier PH, Chignier E.: Dystrophy of the media with aneurysmal tendency in the abdominal aorta iliac segments (13 cases). J Cardiovasc Surg17, 1976.
4.
Gedeon A., Manelfe C., Barret A., Pradere B.: Angiodysplasie du membre inférieur avec mégadolichoartère et fistules artério-veineuses multiples. Chirurgie106:409-414, 1980.
5.
Harrison EG, McCormack LJ: Pathologic classification of renal artery disease in renovascular hypertension . Mayo Clinic Proc46:161-167, 1971.
6.
Lindenauer SM , Thompson NW, Kraft RO, Fry WJ: Late complications of traumatic arterio venous fistulas. SurgeryGynecology & Obstetrics, 525-532, 1969.
7.
Malan E., Puglionisi A.: Congenital angiodysplasia of the extremities. I: Generalities and classification, venous dysplasias. J Cardiovasc Surg5:87-130, 1964.
Servello, et al: Le fistole artero-venose periferiche congenite e traumatiche. Ed. by Idos, Tipog. Editoriale, Milano, 98-145, 1956.
10.
Sottiurai V. , Fry WJ, Stanley JC: Ultrastructural characteristics of experimental arterial medial fibrodysplasia induced by vasa vasorum occlusion. J Surg Res24:169-177, 1978.
11.
Stella A., Tarantini P., D'Addato M.: Gli aneurismi displastico congeniti delle arterie periferiche. Atti IIRiunione Gruppo Italiano di Chirurgia Vascolare Dicembre23-41, 1976.
12.
Stella A., Pedrini L., Curti T.: Use of ultrasound technique in diagnosis and therapy of congenital arterio venous fistulas. Vascular Surgery15:2, 77-85, 1981.
13.
Stella A., Gessaroli M., Pedrini L., et al: Associazione di fibrodisplasia arteriosa segmentaria e F.A.V. congenite: causale o casuale? II Policlinico, Sez Chirurgica89:3, 372-376, 1982.
14.
Stella A., Pedrini L., Gessaroli M., et al: Etiopathogenetic correlations between congenital and acquired factors in arterial fibroplasia. Academic Press (in the press).
15.
Sumner OS: Digital plethysmography. Vascular Surgery73-78, 1977 by W.B. Saunders Company, Philadelphia.
