CONGENITAL ARTERIOVENOUS MALFORMATION OF A LEFT THIRD FINGER—CASE REPORT—

Abstract

A 28-year-old man, who had not injured his left hand, was admitted to our department for pain and swelling in his left third finger for about a year. His left 3^rd finger was 3 mm shorter than the right one. A continuous murmur was heard on the left 3^rd finger with a Doppler stethoscope. Digital subtraction angiography (DSA) revealed abnormal shunt vessels that looked like a corkscrew, between the artery and vein of the 3^rd finger. We diagnosed this as congenital arteriovenous malformation (AVM) of the left 3^rd finger. We determined that surgical resection of the abnormal vessels under general anesthesia was the optimal therapeutic approach. After the operation, the pain and swelling of the finger reduced remarkably.
There are several methods for treating AVM in a finger. However, the choice of an appropriate method and its indication remain controversial.