Alt Ekstremitede Hızlı Akımlı Arteriyovenöz Malformasyon Olgusu

Öz

Arteriyovenöz malformasyonlar (AVM) konjenital vasküler malformasyonlardan olup, doğumdan puberteye kadar asemptomatik kalabilirler. Agressif büyüme potansiyeline sahip bu lezyonlar etraf dokulara bası sonucu semptomatik hale gelebilirler. Lezyonun nidus adı verilen ana gövdesinin tamamen çıkarılması tek tedavi seçeneği olup yetersiz girişimler nükslerle karekterizedir. Bu makalede diz arkası bölgede yerleşmiş ve cerrahiyle başarıyla tedavi edilmiş bir AVM olgusunu sunuyoruz.

Anahtar Kelimeler

• Konjenital, arteriyovenöz malformasyon, bypass

A High Flow Arteriovenous Malformation Case at Lower Extremity

Abstract

Arteriovenous malformations (AVMs) are congenital vascular malformations which can be asymptomatic from birth to puberty. The agressive growing potencial of these lessions can make them symptomatic by pressing to surrounding tissues. The ideal treatment of an AVM is complete resection of the main nidus for the lesion. Incomplete resection of an AVM with a remnant nidus can be resulted with recurrences. In this case report we discussed an AVM case who treated succesfully by surgery with a lesion at the posterior side of the knee.

Keywords

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References

1. 1. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 1982; 69: 412-20.
2. 2. Takahashi K, Mulliken JB, Kozakewich HP, et al. Cellular markers that distinguish the phases of hemangioma during infancy and childhood. J Clin Invest 1993; 93: 57-64.
3. 3. Enjolras O, Mulliken JB. Vascular tumors and vascular malformations (new issues). Adv Dermatol 1997; 13: 375-423.
4. 4. Maria C. Garzon, Jennifer T. Huang, Odile Enjolras, et al. Frieden Vascular malformations (Part I). J am acad dermatol 2007; 353-370.
5. 5. B.B. Lee. New Approaches to the Treatment of Congenital Vascular Malformations (CVMs)-A Single Centre Experience. Eur J Vasc Endovasc Surg 2005; 30: 184-197
6. 6. GV Yu, Brarens RM, Vincent AL. Arteriovenous Malformation of the foot: a case presentation. The Journal of Foot&Ankle Surgery 2004; 43(4): 252-9.
7. 7. Kim JY, Kim DI, Do YS, et al. Surgical Treatment for Congenital Arteriovenous Malformation: 10 Years’ Experience. Endovasc Surg 2006; 32: 101-106.
8. 8. Kohout MP, Hansen M, Pribaz JJ, et al. Arteriovenous malformations of the head and neck: natural history and management. Plast Reconstr Surg 1998; 102: 643-54.