Abstract
Five cases of congenital arteriovenous fistula in the gluteal region have been encountered in our department in the past 20 years. In all cases, the fistulous masses were in the connective tissue between the gluteal muscles and well-localized. Preoperative angiography showed the feeding arteries to be the superior gluteal, the inferior gluteal, and/or the lateral femoral circumflex arteries, and all the arteriovenous fistulae were excised almost completely with success. In this report, we emphasize the importance of precise estimation of the feeding arteries on preoperative angiography and ligating them before excising the fistulous masses, to ensure safe surgical treatment.
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References
Woollard HH. The development of the principal arterial stems in the forelimb of the pig. Cont Embryol 1922; 14: 139–154.
Malan E, Puglionisi A. Congenital angiodysplasias of the extremities. J Cardiovasc Surg 1964; 7: 87–130.
Szilagyi DE, Elliott JP, DeRusso FJ, Smith RF. Peripheral congenital arterivenous fistulas. Surgery 1965; 57: 61–81.
Kamiya K, Tada Y, Maruyama Y, Ueno A. Diagnosis and therapy of congenital arteriovenous fistulas in the extremities. Clin Surg Today 1980; 20: 334–362. (in Japanese)
Natali J, Jue-Denis P, Kieffer E, Benihamou M, Tricot JF, Merland JJ, Riche MC. Arteriovenous fistulae of the internal iliac vessels. J Cardiovasc Surg 1984; 25: 165–172.
Decker DG, Fish CR, Juergens JL. Arteriovenous fistulas of the female pelvis. Amer J Obstet Gynec 1968; 31: 799–805.
Cotton LT, Sykes BJ. The treatment of diffuse congenital arteriovenous fistulas of the leg. Proc R Soc Med 1969; 62: 245–247.
Palmaz JC, New ton TH, Reuter SR, Bookstein JJ. Particulate intraarterial embolization in pelvic arteriovenous malformations. Amer J Radiol 1981; 137: 117–122.
Olcott C, Newton TH, Stoney RJ, Ehrenfeld WK. Intra-arterial embolization in the management of arteriovenous malformations. Surgery 1976; 79: 3–12.
Yakes WF, Pevsner P, Reed M, Donohue HJ, Ghaed N. Serial embolizations of an extremity arteriovenous malformation with alcoholvia direct percutaneous puncture. Amer J Radiol 1986; 146: 1038–1040.
Uchiyama N, Arai Y, Shinzato J, Tsuji J, Nagata Y, Touyama K, Shinohara S. A case of sciatic nerve pulsy as a complication of gluteal artery embolization with ethanol. Jpn J Clin Radiol 1984; 29: 997–999. (English Abst.)
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Shindo, S., Tada, Y., Shirakawa, M. et al. Congenital arteriovenous fistula in the gluteal region —A report of five cases. The Japanese Journal of Surgery 20, 335–340 (1990). https://doi.org/10.1007/BF02470670
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DOI: https://doi.org/10.1007/BF02470670