• Title/Summary/Keyword: arteriovenous malformation

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Reconstruction of the Face Using Thoracodorsal Artery Perforator Free Flap after Resection of Arteriovenous Malformation (안면부 동정맥 기형의 수술적 제거 후 흉배동맥 천공지유리피판을 이용한 결손의 재건)

  • Park, Bum Jin;Lim, So Young;Pyon, Jai Kyong;Mun, Goo Hyun;Bang, Sa Ik;Oh, Kap Sung
    • Archives of Craniofacial Surgery
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    • v.10 no.1
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    • pp.44-48
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    • 2009
  • Purpose: The treatment of arteriovenous malformation (AVM) of the face remains a difficult challenge in plastic surgery. Incomplete resection resulting in uncontrolled bleeding, postoperative enlargement of the remaining malformation, and a poor functional and cosmetic result could be the problems confronted by the surgeons. Methods: A 37 year-old male with large arteriovenous malformation in face treated with preoperative superselective transarterial embolization and free flap transfer. The size of the defect was $13{\times}9cm$. Sclerotheraphy without resection were performed several times but the results were unsatisfactory. Resection was performed the next day of embolization. We were able to repair with the thoracodorsal artery perforator free flap. And facial muscle reconstruction performed by simultaneous muscle and nerve transfer. Results: During the follow-up period 8 months the patient regained an acceptable cosmetic appearance. And he has shown no reexpansion of the malformation. Conclusion: The thoracodorsal artery perforator free flap could be a good choice for the reconstruction for massive defects of the face. A huge arteriovenous malformation could be safely removed and successfully reconstructed by the complete embolization, wide excision and coverage with a well vascularized tissue.

Arteriovenous Malformation on the Medial Plantar Area of the Foot: A Case Report (족저 내측부의 동정맥 기형: 증례 보고)

  • Ha, Dae-Ho;Kwon, Jung-Nam;Kim, Yu-Mi;Lee, Jun-Hyung
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.4
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    • pp.187-191
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    • 2016
  • Arteriovenous malformation (A-V malformation) is defined as an abnormal connection between arteries and veins that lead to A-V shunting with an intervening network of vessels. A-V malformation is a rare condition, and spontaneous regression is also rare. A-V malformation becomes symptomatic when the surrounding tissue and osseous structures are negatively affected. A-V malformation has a high recurrence rate and is relatively hard to treat. In this case, a huge mass with pulsatile and bruit on the medial plantar area were observed. With the diagnosis of A-V malformation in accordance with the results from ultrasonography, magnetic resonance imaging and computed tomography angiography, and mass excision with feeding vessel ligation through plantar midfoot approach was completed successfully.

Intraosseous Arteriovenous Malformation in a Pediatric Patient - A Case Report - (소아 환아의 경골 내에 발생한 동정맥 기형 - 1예 보고 -)

  • Park, Soo-Sung;Lee, Jong-Seok;Yoon, Hyun-Ki;Chung, Ho-Wook
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.1
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    • pp.56-61
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    • 2008
  • More than half of the reported cases of congenital arteriovenous malformations involve the extremities. However, these are predominantly arteriovenous malformations of soft tissues. There are few studies on intraosseous arteriovenous malformations. The clinical features of vascular malformations are not well defined, but are likely to be extremely diverse. So, it is not easy to diagnose exactly and treat intraosseous arteriovenous malformations. The authors noted intraosseous arteriovenous malformation of tibia in a child and had a good result by the use of ethanol embolization. Therefore we include those results along with the literature review.

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A Case of Multiple Pulmonary Arteriovenous Malformation in Pregnancy (임신중에 발견된 다발성 폐 동정맥 기형 1예)

  • Lee, Byung-Ho;Cho, Young-Seon;Choi, Cheon-Woong;Yoo, Jee-Hong;Kang, Hong-Mo
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.5
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    • pp.545-549
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    • 2002
  • A pulmonary arteriovenous fistula is an uncommon malformation. In pregnancy altered hemodynamics and hormones cause changes in a PAVM(pulmonary arteriovenous malformation) that predispose them to deterioration. Therefore, a PAVM can cause serious and life-threatening complications in pregnancy. Death often results from a cerebral abscess and a rupture of the malformation with a massive hemorrhage. Recently, we experienced a case of a multiple PAVM in pregnant 38 year old woman, which could not be observed in the old chest PA, 1 year ago. The PAVM was confirmed by CT and was angiography and treated by percutaneous embolization. The patient is suspected to have HHT (Hereditary hemorrhagic telangiectasia).

Arteriovenous Malformation of the Forehead - Case Report - (이마의 동정맥 기형 - 증 례 보 고 -)

  • Yim, Sin Gil;Oh, Min Suk;Lim, Jun Seob;Kang, Myung Gi;Kwak, Yeon Sang;Park, Seung Gyu;Song, Gyung Bae;Kim, Han Yung
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.368-372
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    • 2001
  • Arteriovenous malformations of the face and scalp are uncommon. We report a patient with facial AVM feeding from external carotid artery. This 26-year old man presented with an arteriovenous malformation involving left forehead. The patient first noted a coin-sized lesion on the site 20 years previously after blunt trauma which progressively enlarged. Surgical resection of AVM was performed after ligation of feeding artery.

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Update on the Vein of Galen Aneurysmal Malformation : Disease Concept and Genetics

  • Hyun-Seung Kang
    • Journal of Korean Neurosurgical Society
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    • v.67 no.3
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    • pp.308-314
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    • 2024
  • Vein of Galen aneurysmal malformation is one of important pediatric arteriovenous shunt diseases, especially among neonates and infants. Here, early history of the disease identification, basic pathoanatomy with a focus on the embryonic median prosencephalic vein, classification and differential diagnoses, and recent genetic studies are reviewed.

A Rare Case of Acquired Arteriovenous Malformation in Transarterial Chemoembolization for Hepatocellular Carcinoma (간세포암의 경동맥 화학색전술 중 발견된 후천성 동정맥 기형에 관한 드문 증례보고)

  • Moon, Sung-Nam;Seo, Sang-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.188-193
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    • 2019
  • Transarterial chemoembolization (TACE) is a commonly used and rapidly evolving non-invasive treatment for hepatocellular carcinoma (HCC). It is important that understanding individual anatomical variants and planning for tumor-feeding artery access to acquire adequate treatment effectiveness. In this study, we will report acquired arteriovenous malformation which interferes with TACE for HCC. A 72-year-old man with persistent abdominal pain for 2 days visited our hospital. The patient was chronic hepatitis B carrier and had a history of HCC treated with conventional TACE 10 years ago. Hypervascular nodular HCC in the liver segment 8 and aberrant right hepatic artery from the superior mesenteric artery were detected on computed tomography (CT). When first TACE was performed, the tumor-feeding artery originating from the left hepatic artery was found and embolized. There was no tumor-feeding artery from the right hepatic artery but arteriovenous malformation was found. After a month, follow up CT showed necrotic lesion and residual HCC and we performed secondary TACE. On secondary TACE, we selected the right hepatic artery and passed through arteriovenous malformation. Superselective-angiogram showed remnant tumoral staining and remnant tumor was embolized using drug-eluting bead and Adriamycin. Final angiogram showed no remnant tumoral staining and the patient was discharged without complication. We found the rare case of arteriovenous malformation adjacent to HCC, and we performed superselective TACE beyond arteriovenous malformation to treat HCC.

Cervical Epidural Hematoma Caused by Ruptured Arteriovenous Malformation - Case Report - (관동정맥기형 파열로 인한 경추강내의 경막외 혈종 - 증례보고 -)

  • Min, Hyung-Sik;Song, Jun-Hyeok;Kim, Myung-Hyun;Park, Hyang-Kwon;Kim, Sung-Hak;Shin, Kyu-Man;Park, Dong-Been
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.396-401
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    • 2000
  • We report a case of spontaneous cervical epidural hematoma caused by a pure epidural arteriovenous malformation. A 22-year-old woman developed a sudden quadriplegia after a vigourous physical therapy including multiple acupunctures for her neck pain. Emergency cervical magnetic resonance image showed an epidural hematoma in her cervicothoracic junction. Emergent decompressive laminectomy and an evacuation of the hematoma were performed. A soft tissue mass found in the hematoma was proven to be an arteriovenous malformation. Postoperatively, the patient experienced some complications. However, she recovered completely from the motor weakness.

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Pulmonary Arteriovenous Fistula - A case report - (폐 동정맥루;1례 보고)

  • 황재준
    • Journal of Chest Surgery
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    • v.25 no.7
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    • pp.716-718
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    • 1992
  • In pulmonary arteriovenous fistula, there are abnormal communications between the pulmonary arteries and the pulmonary veins; the capillary networks that normally separate arteries from veins is absent. The only available treatment of this uncommon variety is an excision. We report a case of pulmonary arteriovenous fistula cured by segmentectomy with a review of literatures.

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