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Related Experiment Videos

Superficial temporal arteriovenous fistula.

C Hyshaw, M DiTullio, J Renaudin

    Surgical Neurology
    |July 1, 1979
    PubMed
    Summary

    A delayed post-traumatic arteriovenous fistula of the superficial temporal artery presented as a pulsatile mass. Surgical excision successfully treated this rare vascular anomaly, highlighting the importance of considering delayed presentations.

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    Area of Science:

    • Vascular Surgery
    • Trauma Surgery
    • Diagnostic Imaging

    Background:

    • Arteriovenous fistulas (AVFs) can arise secondary to trauma.
    • Superficial temporal artery (STA) involvement is uncommon.
    • Delayed presentation of traumatic AVFs poses diagnostic challenges.

    Observation:

    • A pulsatile mass with a palpable bruit was noted.
    • Clinical manifestation occurred 28 months post-trauma.
    • Diagnostic imaging confirmed the AVF.

    Findings:

    • A post-traumatic arteriovenous fistula involving the superficial temporal artery was identified.
    • Angiography and computerized tomography confirmed the vascular lesion.
    • Direct surgical excision was the chosen treatment modality.

    Implications:

    • This case underscores the potential for delayed onset of traumatic AVFs.
    • Early recognition and diagnosis are crucial for effective management.
    • Surgical excision offers a definitive treatment for STA AVFs.

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