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Arteriovenous Malformations: Clinical Aspects and Surgical Results

Received: 12 May 2018     Accepted: 4 June 2018     Published: 28 June 2018
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Abstract

Arteriovenous malformations (AVM) are vascular malformations, broadband, formed of arterial and venous dysmorphic vessels interconnected directly without transition in a capillary bed. Arteriovenous malformation surgery is particularly demanding owing to the need to control bleeding. This is probably one of the most critical moments of arteriovenous malformation surgery. The purpose of this study is to analyzed the clinical aspects and evaluate the results of surgery in the treatment of these AVMs. This is a retrospective and descriptive study that took place in Dakar over a period from January 2004 to December 2017 on patients operated for arteriovenous malformations. The total number of our series was 11 cases. These AVMs represented 32.35% of all tumors and vascular malformations operated during this period. The mean age at surgery was 25 years old [1 year-56 years old]. A male predominance was noted with 7 male to 4 female (sex ratio 1.75). The average time of consultation was 8.3 years [1 months-30 months]. The main reason for consultation was the appearance of a mass in 11 cas. We noted a notion of traumatism or recent surgery were done in 4/11 before the onset of symptoms. The location of the lesions was at the head or the face (5 cases), neck (1 case), the upper member (2 cases), the lower member (3 cases). No multiple location were noted. After physical examination, two patients were classified Schobinger stage 1, stage 2 in 7 cases, 2 cases in stage 3. No patient was classified stage 4. The vascular Doppler ultrasound was performed in 10 cases (91%) and allowed to confirm the diagnosis in 10 cases. The CT angiography was performed in 8 cases (73%). It elicited the feeding artery and draining veins, the number of nidus and topography. We found 6 truncal AVM and 5 extratruncal including 4 limited. A first embolization was performed in 2 cases (18.2%). A one-stage surgery was performed in 7 cases and two times in 4 cases. The average hospital stay was 15 days [3 days-60 days]. The average healing time was 18 days [15 days-30 days]. Operative mortality as early mortality was zero. Late mortality was zero. The average follow-up time was 50.3 months [2 months-96 months]. In recent years, the multidisciplinary approach of tumors and vascular malformations has made important advances in the delineation of nosological frameworks and in the understanding of the natural history and structure of these complex lesions. This is why the treatment of these AVMs requires a multidisciplinary consultation exchange between vascular surgeons, plastic surgeons, interventional radiologists and anesthetists.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 4, Issue 3)
DOI 10.11648/j.ijcts.20180403.11
Page(s) 20-25
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Arteriovenous Malformation, Surgery, Senegal

References
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Cite This Article
  • APA Style

    Momar Sokhna Diop, Papa Adama Dieng, Magaye Gaye, Ndeye Fatou Sow, Amadou Gabriel Ciss, et al. (2018). Arteriovenous Malformations: Clinical Aspects and Surgical Results. International Journal of Cardiovascular and Thoracic Surgery, 4(3), 20-25. https://doi.org/10.11648/j.ijcts.20180403.11

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    ACS Style

    Momar Sokhna Diop; Papa Adama Dieng; Magaye Gaye; Ndeye Fatou Sow; Amadou Gabriel Ciss, et al. Arteriovenous Malformations: Clinical Aspects and Surgical Results. Int. J. Cardiovasc. Thorac. Surg. 2018, 4(3), 20-25. doi: 10.11648/j.ijcts.20180403.11

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    AMA Style

    Momar Sokhna Diop, Papa Adama Dieng, Magaye Gaye, Ndeye Fatou Sow, Amadou Gabriel Ciss, et al. Arteriovenous Malformations: Clinical Aspects and Surgical Results. Int J Cardiovasc Thorac Surg. 2018;4(3):20-25. doi: 10.11648/j.ijcts.20180403.11

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  • @article{10.11648/j.ijcts.20180403.11,
      author = {Momar Sokhna Diop and Papa Adama Dieng and Magaye Gaye and Ndeye Fatou Sow and Amadou Gabriel Ciss and Papa Salmane Ba and Papa Amath Diagne and Souleymane Diatta and Assane N’diaye and Mouhamadou N’diaye},
      title = {Arteriovenous Malformations: Clinical Aspects and Surgical Results},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {4},
      number = {3},
      pages = {20-25},
      doi = {10.11648/j.ijcts.20180403.11},
      url = {https://doi.org/10.11648/j.ijcts.20180403.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20180403.11},
      abstract = {Arteriovenous malformations (AVM) are vascular malformations, broadband, formed of arterial and venous dysmorphic vessels interconnected directly without transition in a capillary bed. Arteriovenous malformation surgery is particularly demanding owing to the need to control bleeding. This is probably one of the most critical moments of arteriovenous malformation surgery. The purpose of this study is to analyzed the clinical aspects and evaluate the results of surgery in the treatment of these AVMs. This is a retrospective and descriptive study that took place in Dakar over a period from January 2004 to December 2017 on patients operated for arteriovenous malformations. The total number of our series was 11 cases. These AVMs represented 32.35% of all tumors and vascular malformations operated during this period. The mean age at surgery was 25 years old [1 year-56 years old]. A male predominance was noted with 7 male to 4 female (sex ratio 1.75). The average time of consultation was 8.3 years [1 months-30 months]. The main reason for consultation was the appearance of a mass in 11 cas. We noted a notion of traumatism or recent surgery were done in 4/11 before the onset of symptoms. The location of the lesions was at the head or the face (5 cases), neck (1 case), the upper member (2 cases), the lower member (3 cases). No multiple location were noted. After physical examination, two patients were classified Schobinger stage 1, stage 2 in 7 cases, 2 cases in stage 3. No patient was classified stage 4. The vascular Doppler ultrasound was performed in 10 cases (91%) and allowed to confirm the diagnosis in 10 cases. The CT angiography was performed in 8 cases (73%). It elicited the feeding artery and draining veins, the number of nidus and topography. We found 6 truncal AVM and 5 extratruncal including 4 limited. A first embolization was performed in 2 cases (18.2%). A one-stage surgery was performed in 7 cases and two times in 4 cases. The average hospital stay was 15 days [3 days-60 days]. The average healing time was 18 days [15 days-30 days]. Operative mortality as early mortality was zero. Late mortality was zero. The average follow-up time was 50.3 months [2 months-96 months]. In recent years, the multidisciplinary approach of tumors and vascular malformations has made important advances in the delineation of nosological frameworks and in the understanding of the natural history and structure of these complex lesions. This is why the treatment of these AVMs requires a multidisciplinary consultation exchange between vascular surgeons, plastic surgeons, interventional radiologists and anesthetists.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Arteriovenous Malformations: Clinical Aspects and Surgical Results
    AU  - Momar Sokhna Diop
    AU  - Papa Adama Dieng
    AU  - Magaye Gaye
    AU  - Ndeye Fatou Sow
    AU  - Amadou Gabriel Ciss
    AU  - Papa Salmane Ba
    AU  - Papa Amath Diagne
    AU  - Souleymane Diatta
    AU  - Assane N’diaye
    AU  - Mouhamadou N’diaye
    Y1  - 2018/06/28
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ijcts.20180403.11
    DO  - 10.11648/j.ijcts.20180403.11
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 20
    EP  - 25
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20180403.11
    AB  - Arteriovenous malformations (AVM) are vascular malformations, broadband, formed of arterial and venous dysmorphic vessels interconnected directly without transition in a capillary bed. Arteriovenous malformation surgery is particularly demanding owing to the need to control bleeding. This is probably one of the most critical moments of arteriovenous malformation surgery. The purpose of this study is to analyzed the clinical aspects and evaluate the results of surgery in the treatment of these AVMs. This is a retrospective and descriptive study that took place in Dakar over a period from January 2004 to December 2017 on patients operated for arteriovenous malformations. The total number of our series was 11 cases. These AVMs represented 32.35% of all tumors and vascular malformations operated during this period. The mean age at surgery was 25 years old [1 year-56 years old]. A male predominance was noted with 7 male to 4 female (sex ratio 1.75). The average time of consultation was 8.3 years [1 months-30 months]. The main reason for consultation was the appearance of a mass in 11 cas. We noted a notion of traumatism or recent surgery were done in 4/11 before the onset of symptoms. The location of the lesions was at the head or the face (5 cases), neck (1 case), the upper member (2 cases), the lower member (3 cases). No multiple location were noted. After physical examination, two patients were classified Schobinger stage 1, stage 2 in 7 cases, 2 cases in stage 3. No patient was classified stage 4. The vascular Doppler ultrasound was performed in 10 cases (91%) and allowed to confirm the diagnosis in 10 cases. The CT angiography was performed in 8 cases (73%). It elicited the feeding artery and draining veins, the number of nidus and topography. We found 6 truncal AVM and 5 extratruncal including 4 limited. A first embolization was performed in 2 cases (18.2%). A one-stage surgery was performed in 7 cases and two times in 4 cases. The average hospital stay was 15 days [3 days-60 days]. The average healing time was 18 days [15 days-30 days]. Operative mortality as early mortality was zero. Late mortality was zero. The average follow-up time was 50.3 months [2 months-96 months]. In recent years, the multidisciplinary approach of tumors and vascular malformations has made important advances in the delineation of nosological frameworks and in the understanding of the natural history and structure of these complex lesions. This is why the treatment of these AVMs requires a multidisciplinary consultation exchange between vascular surgeons, plastic surgeons, interventional radiologists and anesthetists.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal

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