We report a case of a 40 year old man with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed at laparotomy. He presented with bleeding esophageal varices and was initially treated by sclerotherapy. At laparotomy, portal pressure was 40 cmH20 but fell to 20 cm H20 after the fistula was treated with splenectomy. All symptoms disappeared shortly after operation ...

Exercise 201Tl SPECT imaging has become routinely accepted and utilized as a major screening test for atherosclerotic coronary artery disease. In appropriate clinical situations, an abnormal 201Tl study usually will require a subsequent coronary angiogram to confirm the presence of an abnormality and to define its pathologic anatomy. Although most reversible thallium defects will prove to be se...

OBJECTIVE To evaluate the two year patency rate of functioning arteriovenous fistula. METHODOLOGY This prospective case series study was conducted at Department of Urology, Jinnah Postgraduate Medical Centre, Karachi, from 1(st) January 2009 to 31(st) December, 2010. Patients were chosen for CBRC arteriovenous fistula at wrist and patients undergoing other types of vascular access or secondar...

Arteriovenous fistula dysfunction is a frequent complication in, and hindrance to, patients with end stage kidney disease undergoing renal replacement therapy with intermittent haemodialysis. We present an unusual complication in a 68-year-old male patient undergoing haemodialysis therapy for end stage kidney failure caused by biopsy-proven multiple myeloma. We explore the occurrence of an extr...

DOI: 10.5935/abc.20150139 A 79-year-old man with prior aortic valve replacement was admitted to our hospital due to exertional angina. Single-photon emission computed tomography revealed ischemia at the territory of the left anterior descending artery (LAD) and the right coronary artery (RCA) (Figures 1 A and B). Coronary arteriography (Figures 1 C and D) and cardiac computed tomographic angiog...

Two patients, who were on hemodialysis over a femoral arteriovenous fistula, were transplanted in our center. Despite adequate blood pressure, perfusion of the renal allograft remained poor after completion of the vascular anastomoses. Ligation of the femoral arteriovenous fistula (1.6 L/min) led to adequate perfusion. Initial graft function was good. Although it remains unclear whether ischemi...

To cite: Lumley M, Booker A, Clapp B. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2012007450 DESCRIPTION A 70-year-old man was transferred due to progressive angina with a history of severe aortic valve stenosis and multivessel coronary artery disease treated with biological aortic valve replacement and two-vessel coronary artery bypass surgery (CABG) 1 year p...

Time-resolved, contrast-enhanced 3D MR angiography combined with parallel imaging at 3T was applied to an intracranial arteriovenous malformation, a dural arteriovenous fistula, and an extracranial facial arteriovenous malformation. The temporal resolution was one image every 1.5 seconds. Arterial feeders were depicted in all three cases. Early venous drainage was observed in the intracerebral ...

the klippel-trenaunay syndrome, first reported in 1910, is a triad of cutaneous hemangioma, varicose veins, and soft tissue or bony hypertrophy. the varicosities are extensive involving the tributaries of the greater or lesser saphenous systems. arteriogram are normal with no evidence of arteriovenous fistulas. multiple ligation and stripping may worsen the condition, and treatment consists of ...

background and objectives: arteriovenous fistula is a popular vascular access method for surgical treatmentof hemodialysis patients. the method, however, is associated with a high rate of early failure varying in the range of 20-60%. predicting early arteriovenous fistula failure and its risk factors can help reduce its incidence, its hospitalization rate, and associated costs. in this study, w...