Congenital arteriovenous communications with a report of two cases

✍ Scribed by John Gilmour; Mason Bolam

• Publisher: John Wiley and Sons
• Year: 1937
• Tongue: English
• Weight: 495 KB
• Volume: 25
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800259814

✦ Synopsis

EXAMPLES of the condition of so-called congenital arteriovenous aneurysm are sufficiently rare to be worth reporting. Two cases have recently come for treatment. The first was seen by one of us (M. B.) in the Skin Department and was ultimately treated in a Surgical Clinic at the Royal Victoria Infirmary, whilst the second was a private patient.

The first illustrates the onset of signs and symptoms after a possible trauma, and is noteworthy because of its association with hypertrophy of the affected limb. It is in fact an example of the clinical syndrome which Parkes Weberl has called '' congenital phlebarteriectasis and hemangiectatic hypertrophy of the limb ", although there is no clinical proof that it was congenital in origin. The second case became manifest in middle life without any antecedent trauma or clinical history, and there was no hypertrophy of the affected limb.

The fact that the local vascular changes were the same lends interest to these cases and raises the question of the underlying cause.