Vascular Malformations

Louis R. Caplan; Aishwarya Aggarwal

doi:10.1017/9781009030854.025

Chapter Twenty - Vascular Malformations

from Types of Stroke

Published online by Cambridge University Press: 13 December 2022

Louis R. Caplan and

Aishwarya Aggarwal

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Louis R. Caplan: Affiliation:
Beth Israel Deaconess Medical Centre
Aishwarya Aggarwal: Affiliation:
John F. Kennedy Medical Center

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Summary

Before the advent of modern brain and vascular imaging, recognition of vascular malformations was only at necropsy or surgery. William Hunter, the brother of the surgeon John Hunter, is often credited for the first description of an arteriovenous communication [1]. In 1757 Hunter reported two patients who had acquired systemic arteriovenous fistulas as a result of overexuberant phlebotomies. He heard a loud hissing murmur and a strong tremulous thrill in the arm at the location of the vascular communication. The brachial artery was much enlarged and large tortuous venous sacs visibly pulsated. Hunter was able to reduce the size of the veins and eliminate the murmur and thrill by pressing on a local spot that he recognized to be the point of the arteriovenous communication. He suggested the word “anastamosis” for this union [1].

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Type: Chapter
Information: Stories of Stroke
Key Individuals and the Evolution of Ideas
, pp. 167 - 173

DOI: https://doi.org/10.1017/9781009030854.025 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

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References

Notes and References

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