Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/jvb.2014.008
Jornal Vascular Brasileiro
Case Report

Traumatic arteriovenous fistula of the superficial temporal artery

Fístula arteriovenosa traumática de artéria temporal superficial

Otacílio de Camargo Júnior; Márcia Fayad Marcondes de Abreu; Guilherme Camargo Gonçalves de Abreu; Sthefano Atique Gabriel; Isabella Maria Machado da Silva

http://dx.doi.org/10.1590/jvb.2014.008 J Vasc Bras, vol.13, n1, p.39-42, 2014
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Abstract

Arteriovenous fistulae of the superficial temporal artery are rare, and their principal cause is traumas. Complications include pulsatile mass, headache, hemorrhage and deformities that compromise esthetics. Treatment can be performed using conventional surgery or endovascular methods. The authors describe a case of a 44-year-old male patient who developed a large pulsating mass, extending from the preauricular region to the right parietotemporal and frontal regions after a motorcycle accident. The treatment chosen was complete surgical removal of the pulsatile mass and ligature of the vessels feeding the fistula.

Keywords

arteriovenous fistulae, superficial temporal artery, trauma, fístula arteriovenosa, artéria temporal superficial, trauma

Resumo

As fístulas arteriovenosas de artéria temporal superficial são raras, sendo o trauma sua etiologia principal. Suas complicações incluem massa pulsátil, cefaleia, hemorragia e deformidade estética. O tratamento pode ser realizado por cirurgia convencional ou endovascular. Os autores relatam o caso de um paciente de 44 anos que evoluiu com massa pulsátil extensa desde região pré-auricular até região parietotemporal e frontal direita após acidente motociclístico. Optou-se por remoção cirúrgica completa da massa pulsátil e ligadura dos vasos nutridores da fístula.

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