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Ann Thorac Surg 1999;67:849-850
© 1999 The Society of Thoracic Surgeons

Case Reports

Chest wall arteriovenous fistula: an unusual complication after chest tube placement

Terrence D. Coulter, MDa,b, Janet R. Maurer, MDa,b, Michael T. Miller, MDa,b, Atul C. Mehta, MDa,b

a Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
b Department of Radiology, Soldier & Sailors Memorial Hospital, Penn Yan, New York, USA

Accepted for publication September 8, 1998.

Address reprint requests to Dr Maurer, Department of Pulmonary and Critical Care Medicine/A90, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195

Posttraumatic arteriovenous fistulas can form between vessels of the thorax that have sustained loss of integrity to the vessel wall. Although most are caused by injuries as a consequence of missile penetration or stab wounds, iatrogenic damage is a potential cause. Herein we present a case of a systemic arteriovenous fistula involving an intercostal artery and subcutaneous vein after chest tube placement.




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