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Acta Cardiol Sin. 2014 Jul;30(4):333-6.

Ligation of Macroscopically Detectable Arteriovenous Fistulas in Stewart-Bluefarb Syndrome.

Acta Cardiologica Sinica

Shih-Ying Sung, Yi-Chang Lin, Yi-Ting Tsai, Chih-Yuan Lin, Chung-Yi Lee, Chien-Sung Tsai

Affiliations

  1. Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

PMID: 27122807 PMCID: PMC4804996

Abstract

UNLABELLED: We herein describe the case of a 21-year-old woman with Stewart-Bluefarb syndrome presenting with recurrent ulcers on the right foot and multiple congenital arteriovenous malformations. The painful recurrent ulcers and brownish macules at the dorsum of the right foot had appeared at 13 years of age, and the size of the right foot gradually became larger than the left. She underwent conservative treatment and polyvinyl alcohol embolization but the ulcer was recurrent. Two macroscopic detectable feeding arteries to arteriovenous fistulas were ligated under Doppler sonography. At her 6 month follow-up, the chronic ulcer had begun to heal and pain had been alleviated.

KEY WORDS: Acroangiodermatitis; Arteriovenous malformation; Recurrent foot ulcer; Stewart-Bluefarb syndrome.

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