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January 1, 2009Circulation JournalOpen Access

Recovery of Cardiomegaly After Treatment of Traumatic Popliteal Arteriovenous Fistula

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Key result

Surgical closure of a long-standing traumatic popliteal arteriovenous fistula resulted in prompt resolution of cardiomegaly, with the cardiothoracic ratio decreasing from 61% to 46% within one month.

Population

n=1, 32-year-old man with a traumatic popliteal arteriovenous fistula 9 years post-injury, presenting with…

Design

Case_report

Follow-up

18 months

Authors

SSShunya ShindoYHYoshihiro HondaMKMasatake Katsu

Discussion

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Overview

May support AVF closure for secondary cardiomegaly; hypothesis-generating case report leaves open need for prospective confirmation.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
A 32-year-old man with a long-standing traumatic popliteal arteriovenous fistula and asymptomatic cardiomegaly followed for 18 months after surgery.
I
Intervention
Surgical closure of the popliteal AVF via the lumen of the vein using tourniquet occlusion technique.
O
Outcome
Resolution of cardiomegaly (measured by cardiothoracic ratio and ultrasonic cardiography)surrogate

Surgical closure of a long-standing traumatic popliteal AVF can promptly resolve secondary cardiomegaly and hyperdynamic state, highlighting the importance of intervention even in asymptomatic patients.

Limitations

  • No roentgenography films were available from the time of the initial traffic accident to confirm the exact etiology of the fistula.

Cite This Study

Shindo et al. (2009) conducted a case report in Traumatic popliteal arteriovenous fistula (n=1). Surgical closure of arteriovenous fistula was evaluated on Cardiothoracic ratio (CTR). Surgical closure of a long-standing traumatic popliteal arteriovenous fistula resulted in prompt resolution of cardiomegaly, with the cardiothoracic ratio decreasing from 61% to 46% within one month.

synapsesocial.com/papers/6a9c92ff2b006a14f39799a1https://doi.org/10.1253/circj.cj-08-0405
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Chronic traumatic popliteal arteriovenous fistula presenting twenty years after shotgun injury: a case report and critical literature review2026
  2. 2High-Output Heart Failure Secondary to Post-Traumatic Arteriovenous Fistula2024
  3. 3Iatrogenic Femoral Arteriovenous Fistula After Cardiac Ablation Presenting As Heart Failure: Successful Endovascular Repair2026
  4. 4Popliteal Arteriovenous Fistula Diagnosed Eight Years after Total Knee Arthroplasty. Endovascular Treatment with Viabahn® Endoprosthesis and Five-Year Follow-Up2024 · 1 citations
  5. 5High-Output Heart Failure from A Decade-Old Traumatic AV Fistula: A Case Report2026