ACQUIRED ARTERIOVENOUS FISTULA WITH COEXISTENT SUBACUTE BACTERIAL ENDOCARDITIS AND ENDARTERITIS

Abstract

Case Reports1 December 1946ACQUIRED ARTERIOVENOUS FISTULA WITH COEXISTENT SUBACUTE BACTERIAL ENDOCARDITIS AND ENDARTERITISSEYMOUR S. CUTLER, M.D., JULIUS WOLFSEYMOUR S. CUTLER, M.D.Search for more papers by this author, JULIUS WOLFSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-25-6-972 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAcquired arteriovenous aneurysms may result in fatal cardiac insufficiency because of the unfavorable circulatory dynamics set up by the shunt. Another and less common outcome results from the establishment of a subacute bacterial infection of the fistula. This complication has been reported by Bretschneider,1 Walz,2 Gravier,3 Porter and Williams,4 Hamman and Rienhoff,5 Leaman,6 and Touroff et al.7 In the first four cases named, there was also a coexisting bacterial endocarditis of the aortic valve. Our case, which has certain unique features, closely resembles the four cases cited and becomes the fifth such to be reported.CASE REPORTV. M., a...Bibliography1. BRETSCHNEIDER H: Mykotische Auflagerungen in einem Aneurysma arterio-venosum indirectum bei Endocarditis lenta, Frankfurt. Ztschr. f. Path., 1923, xxix, 528-542. Google Scholar2. WALZ K: Aneurysma arterio-venosum mit mykotischen Auflagerungen bei Endocarditis lenta, Deutsch. Ztschr. f. d. ges. gericht. Med., 1925, vi, 366-369. Google Scholar3. GRAVIER ML: Un cas de coexistence d'insuffisance aortique et d'aneurysme arterioveineux, endocardite infectieuse secondaire, Lyon méd., 1929, cxliii, 549-552. Google Scholar4. PORTERWILLIAMS WBGZ: Subacute Streptococcus viridans infection on an arterio-venous aneurysm and the aortic valves: A case report, Trans. Assoc. Am. Phys., 1939, liv, 359-365. Google Scholar5. HAMMANRIENHOFF LWF: Subacute Streptococcus viridans septicemia cured by excision of an arteriovenous aneurysm of the external iliac artery and vein, Bull. Johns Hopkins Hosp., 1935, lvii, 219-239. Google Scholar6. LEAMAN WG: The prognosis in heart disease with special reference to curable types, New Internat. Clin., 1939, iii, 137-140. Google Scholar7. TOUROFFLANDEKROOP ASHI: Subacute Streptococcus viridans septicemia, cured by excision of an infected traumatic arteriovenous aneurysm, Surg., Gynec., and Obst., 1942, lxxiv, 974-982. Google Scholar8. HOLMAN E: Arteriovenous aneurysms, 1937, Macmillan, N. Y. Google Scholar9. HOLMAN E: Anatomical and physiologic effects of arterio-venous fistulae, Surgery, 1940, viii, 362-382. Google Scholar10. GOULEYSICKEL BAEM: Aortic regurgitation caused by dilatation of the aortic orifice and associated with a characteristic valvular lesion, Am. Heart Jr., 1943, xxvi, 24-38. CrossrefGoogle Scholar11. GROSSANTOPOLSACKS LWB: Standardized procedure suggested for microscopic studies on the heart, Arch. Path., 1930, x, 840-852. Google Scholar12. GROSSEHRLICH LJC: Studies on the myocardial Aschoff body, Am. Jr. Path., 1934, x, 467-504. Google Scholar13. CAMPBELL JA: The problem of Mount Everest, Lancet, 1928, ii, 84-86. CrossrefGoogle Scholar14. RICH AA: Pathogenesis of the forms of jaundice, Bull. Johns Hopkins Hosp., 1930, xlvii, 338-377. Google Scholar15. HUEPER WC: Arteriosclerosis, Arch. Path., 1945, xxxix, 51-65. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: M.C. A.U.S. Brooklyn, N. Y.*Received for publication September 14, 1945.From the Department of Medicine, The Long Island College Hospital, Brooklyn, New York. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCardiovascular Complications of Uremia and DialysisCardiovascular Complications of Uremia and DialysisCreation of an Arteriovenous Fistula for TransfusionChronic Hemodialysis Using Venipuncture and a Surgically Created Arteriovenous FistulaKurzschlußverbindungen des großen und kleinen KreislaufsThe Diagnosis and Treatment of Bacterial EndocarditisDie vascul�r und kardial dekompensierte Form der arterioven�sen Fistel traumatischer GeneseErkrankungen des EndokardKrankheiten der GefäßeAcquired Arteriovenous Fistulas Complicated by Endarteritis, and Endocarditis Lenta Due to Streptococcus faecalisProgress in Bacterial EndocarditisCongenital arteriovenous fistula of the cervical vertebral vessels with heart failure in an infant 1 December 1946Volume 25, Issue 6Page: 972-981KeywordsAneurysmsAortic valveEndocarditisFistulasHospital medicine ePublished: 1 December 2008 Issue Published: 1 December 1946 PDF downloadLoading ...