Lameness in a mare with signs of arteriovenous fistula

A 5-year-old mare was evaluated for lameness and swelling of the right forelimb. Clinical findings, including peripheral edema, venous pulsation, palpable thrill in the cephalic vein, disparate arteriovenous oxygen tension differences between the left and right forelimbs, and Branham sign, were suggestive of arteriovenous fistula. Failure to identify the fistula by angiography was attributed to closure of the shunt during anesthesia. Surgical exploration of the affected limb to identify the shunt also was unsuccessful.