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Report of a Case With Notes on the Pathophysiology of This Condition

Robert L. Fulton, MD; Donald A. Wolfel, MD

AMA Arch Surg. 1970;100(3):307-309.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sachs, in 1892, reported for the first time a fistula between the hepatic artery and portal vein. The patient was a child who died of bleeding esophageal varices.¹ Sixty years elapsed until this entity was described in a second patient, presenting with ascites and bleeding esophageal varices.² Subsequently, 16 cases of arteriovenous (AV) fistulae between the hepatic artery and portal vein have been documented.^3-18 This is believed to be the 19th report of such an AV fistula. The reasons for reporting the case are threefold: (1) this is a rare condition, (2) there are adverse physiologic effects of these AV fistula other than cardiovascular,^1-4,6,7,9,18 and (3) there have been differing opinions concerning the effects of such a fistula upon the heart.^11,14

Report of a Case

A 30-year-old white butcher was admitted to the Albuquerque Veterans Administration Hospital for evaluation of an abdominal bruit. The man had . . . [Full Text PDF of this Article]

Author Affiliations
Albuquerque, NM

From the Department of Surgery, Veterans Administration Hospital (Dr. Fulton), and Presbyterian Hospital Center (Dr. Wolfel), Albuquerque, NM.

Footnotes
Accepted for publication Dec 1, 1969.

Reprint requests to Department of Surgery, Veterans Administration Hospital, Albuquerque, NM 87108 (Dr. Fulton).

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