Arterio-Sphenoparietal Sinus Fistula의 수술
Surgery of ArterioSphenoparietal Sinus Fistula
주혜정, 남궁기, 김원형,
소속 상세정보
주혜정 ( )
연세대학교
남궁기 ( )
연세대학교
김원형 ( )
연세대학교
KMID : 0359819930220091044
Abstract
A 7-month-old boy was presented with growth retardation. The brain CT scan and the cerebral angiography revealed hydrocephalus resulting from venous hypertension and a high-flow direct arteriovenous fistula at the distal M2 segment of the middle
cerebral artery which was drained into the sphenopartietal sinus. The echocardiogram disclosed a ventricular hypertrophy. The patient was treated by gradual ligation of fistulous portion in ten minutes to prevent sudden increase of peripheral
resistance
and cardiac overloading. It is stressed that slow obliteration of an arteriovenous fistula is a paramount procedure to prevent congestive heart failure.
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