WILLIAM B. PORTER, M.D., F.A.C.P.; JAMES P. BAKER JR., M.D.
Following the establishment of a fistulous connection between an artery and a vein, there occur changes in the dynamics of the circulation which result in varying degrees of cardiac enlargement and of dilatation of the involved artery and vein proximal to the fistula. The extent of the changes depends mainly upon the size of the vessels involved and the caliber of the fistula.1
In 1924 Holman1, f expressed the opinion that the dilatation of the proximal artery and vein was an adjustment mechanism for the accommodation of the increased volume of blood flowing through the artery-vein fistulous system. These conclusions
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PORTER WB, BAKER JP. AN ARTICLE CONTRIBUTED TO AN ANNIVERSARY VOLUME IN HONOR OF DOCTOR JOSEPH HERSEY PRATT: THE SIGNIFICANCE OF CARDIAC ENLARGEMENT CAUSED BY ARTERIOVENOUS FISTULA(THE SIGNIFICANCE OF CARDIAC ENLARGEMENT CAUSED BY ARTERIOVENOUS FISTULA*). Ann Intern Med. 1937;11:370–378. doi: 10.7326/0003-4819-11-2-370
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Published: Ann Intern Med. 1937;11(2):370-378.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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