ABSTRACT
Congenital carotid to jugular arteriovenous communications are rare lesions presenting a challenging surgical problem. Including our case, five cases have been reported so far and all were female. The communications represent the persistence of embryonic arteriovenous channels and consequently they are usually multiple. Ligation of the external carotid artery or the use of multiple ligatures should be avoided as a recurrence usually ensues. In addition, both methods render secondary complete excision more difficult and hazardous to the patient. Primary complete resection is recommended as the procedure of choice.
Subject(s)
Arteriovenous Fistula/surgery , Arteriovenous Malformations/surgery , Carotid Arteries/abnormalities , Jugular Veins/abnormalities , Jugular Veins/surgery , Aortography , Arteriovenous Fistula/diagnostic imaging , Arteriovenous Malformations/diagnostic imaging , Carotid Arteries/surgery , Female , Humans , Infant , LigationABSTRACT
The results of 177 reconstructions for aorto-iliac occlusive disease are presented. All operation, and evaluations of immediate and long term results obtained, were performed by one surgeon. Two basic techniques, endarterectomy and synthetic grafts were used. The results were assessed by the life table method. At ten years there was no statistical difference between the two groups. Endarterectomy, and graft insertion appear to be complementing each other, rather than representing two different modalities of therapy. The importance of thorough evaluation of the cerebral and coronary circulation prior to reconstruction of the aorto-iliac segment is emphasized.
