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Arteriovenous fistula following thyroidectomy
The Journal of Cardiovascular Surgery
|November 1, 1982
Summary
A rare arteriovenous fistula between the superior thyroid artery and internal jugular vein was diagnosed 20 years post-thyroidectomy. Continuous cervical bruits, not just systolic/diastolic, strongly suggest this unusual vascular connection.
Area of Science:
- Vascular Surgery
- Diagnostic Radiology
Background:
- Thyroidectomy is a common surgical procedure.
- Arteriovenous fistulas are abnormal connections between arteries and veins.
Observation:
- A patient presented with local symptoms 20 years after thyroidectomy.
- A continuous cervical bruit was detected.
Findings:
- An arteriovenous fistula between the superior thyroid artery and internal jugular vein was diagnosed.
- The bruit was initially misattributed to carotid artery atherosclerosis.
Implications:
- Continuous cervical bruits are a key indicator for diagnosing arteriovenous fistulas.
- This case highlights the importance of considering rare vascular anomalies in post-surgical patients.