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EMILE HOLMAN, M.D.

Arch Surg. 1923;7(1):64-82.

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

Cardiac hypertrophy and proximal dilatation of the artery have been so frequently associated with arteriovenous fistulas that it has long seemed highly probable that there must be some causative relationship between the two. That such a relation exists has been denied by clinicians, both ancient and modern, and the association of the two conditions clinically has been attributed to a coincidence. It was a problem that aroused the interest of the late Professor Halsted many years ago, and was for him a subject of constant speculation. Speaking before the American Surgical Association¹ in 1918. he said:

If the assumption is correct that the heart dilates in consequence of the fistula, it is important that the fact should be brought to the attention not only of surgeons but also of pathologists and internists who apparently have altogether overlooked it.... When a causative relationship... shall have become convincingly established, we may . . . [Full Text PDF of this Article]

Author Affiliations
BALTIMORE

From the surgical clinic of the Johns Hopkins Hospital and the Hunterian Laboratory of Experimental Surgery.

Footnotes
Read at a meeting of the Johns Hopkins Hospital Medical Society, Nov. 20, 1922.

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