SURGICAL RESOLUTION OF A MASSIVE, DEBILITATING LOW-GRADE INTRAMUSCULAR ARTERIOVENOUS MALFORMATION IN THE BACK: A LIFE TRANSFORMED
Keywords:
Arteriovenous malformations, MRA, ICDAbstract
Arteriovenous malformations (AVMs) are abnormal connections between arteries and veins, bypassing the capillary system, typically due to a failure in the differentiation process during embryonic development [1]. The size of AVMs increases as high-pressure blood flows directly from arteries to veins, following the path of least resistance [2]. This report presents a rare and remarkable case of a 45-year-old man with a massive, intramuscular AVM in his back. Despite the challenges posed by its size, volume, and potential risk to the thoracic cavity, the AVM was successfully treated with surgical excision alone. This intervention dramatically improved the patient's quality of life.
Downloads
References
Kadir S, Ernst CB, Hamper U, White RI. Management of vascular soft tissue neoplasm using
transcatheter embolization and surgical excision. Am J Surg 1983;146:409–412.
4. Yilmaz, Sevda, et al. "Giant arteriovenous malformation located on the chest wall—
Diagnosis and endovascular treatment: Report of a case." Surgery today 40.12 (2010): 1164-
Ulku, Refik, et al. "Resection of Intercostal Hemangioma with Involved Chest Wall and Ribs
in an 11-Year Old Girl." Texas Heart Institute Journal 37.4 (2010): 486.
Naganuma H, Ishida H, Niizawa M, Igarashi K, Shioya T, Masamune O. Hepatic involvement
in Osler Weber-Rendu disease: findings on pulsed and color Doppler sonography. AJR Am J
Roentgenol 1995;165:1421–1425.
Yilmaz, Sevda, et al. "Giant arteriovenous malformation located on the chest wall—Diagnosis
and endovascular treatment: Report of a case." Surgery today 40.12 (2010): 1164-1168.
Kadir S, Ernst CB, Hamper U, White RI. Management of vascular soft tissue neoplasm using
transcatheter embolization and surgical excision. Am J Surg 1983;146:409–412.
Visser, Anniek, Trevor FitzJohn, and Swee T. Tan. "Surgical management of arteriovenous
malformation." Journal of Plastic, Reconstructive & Aesthetic Surgery 64.3 (2011): 283-291.
Rivera PP, Kole MK, Pelz DM, Gulka IB, McKenzie FN, Lownie SP. Congenital intercostal
arteriovenous malformation. AJR Am J Roentgenol 2006; (5):W503–W506.
Coulter TD, Maurer JR, Miller MT, Mehta AC. Chest wall arteriovenous fistula: an unusual
complication after chest tube placement. Ann Thorac Surg 1999;67(3):849–850.
Downloads
Published
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.