CASE REPORT
Year : 2017  |  Volume : 4  |  Issue : 1  |  Page : 25-27

Atypically Large Arteriovenous Malformation: A Surgical Challenge


1 Department of Cardiothoracic and Vascular Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
2 Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

Correspondence Address:
Mukesh Kumawat
Department of Cardiothoracic and Vascular Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0820.198073

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Arteriovenous malformation (AVM) is an abnormal connection between arteries and veins, bypassing the capillary system. The majority of AVMs involve the extremities, head and neck, and lungs. We report a case of a 20-year-old female with a large, high flow AVM at unusual location. The perforators of this malformation were originating directly from lumbar arteries, revealed by computed tomography angiography. In the absence of facilities of embolizing feeder vessels, such large AVM gave us a great surgical challenge in terms of dissection, raising the mass, ligating perforators, and avoiding skin loss.


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