Heart Disease Community
carrotid jugular fistula
About This Community:

A community of people with Heart Disease to guide and support your heart-health journey. Ask a question, join a conversation, share experiences: symptoms, nutrition, and management.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

carrotid jugular fistula

Presuming there is a carotid jugular fistula created by trauma at approximately the level where the common carotid separates......... could there be unequal external carotid pulses and diminished or absent internal carotid pulse on injured side? Would valves in the jugular be able to direct arterial blood flow into return tract without JVD on injured side?  Possible increased inflow pressure to right ventricle cause dilation ?  Given existing saphenous vein graft of RCA might dilation of RV affect lie of graft....nodal artery insufficiency.....bradycardia?  Increasing demand on LV to compensate output?

I know. Tough to say... but possible?
Thanks for thoughtful answer....please.
976897_tn?1379171202
Wow this is a very technical question requiring a LOT of thought, but at the same time interesting. For one thing, the answers to your questions would depend, and by substantially different, by the actual diameter of the fistular. If very small, I would suspect a patient would go for months or years before the correct diagnosis is found. However, if large, then this would be a totally different scenario. I think pulses would be felt on all vessels, but it would take an echo doppler to see the shunting. As you point out, there are valves involved on the venous side, and this would mean shunting of blood from the arterial side to venous would affect pressure into the right atrium. I think tachycardia would result and eventual cardiac failure would be imminent. The sooner the vessels are separated the better. There have been cases where medication has been attempted for heart failure with no benefits, but as soon as the fistula is closed off, the heart has recovered. Having given this a lot of thought, I can't help but wonder if the diastolic pressure would greatly decrease. I'm not a Doc or professional in medicine but I thank you for such an interesting question.
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
Avatar_f_tn
Blank
skydnsr
11548417_tn?1431627317
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
139792_tn?1299416777
Blank
Dalubaba commented on photo
8 mins ago
9628497_tn?1433294624
Blank
TeQuiero uploaded new photos
14 hrs ago
9628497_tn?1433294624
Blank
TeQuiero I learn in life its always ... Comment
14 hrs ago
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
Avatar_f_tn
Blank
skydnsr
11548417_tn?1431627317
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL