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Acute limb-threatening ischemia following rupture of a brachial A-V fistula pseudoaneurysm

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Abstract

We present a case of acute limb-threatening ischemia following contained rupture of a pseudoaneurysm at brachial arterio-venous fistula site. The rapid progression of the clinical ischemia with impending external rupture of the pseudoaneurysm made the presentation unique. Emergent salvage surgery was performed with autogenous saphenous vein reconstruction of the brachial artery. We believe that emergent surgery with autogenous reconstruction of the artery would give the best results considering the strong probability of infection as the etiology.

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References

  1. Mudoni A, Cornacchiari M, Gallieni M, et al. Aneurysms and pseudo-aneurysms in dialysis access. Clin Kidney J. 2015;8:363–7.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Pasklinsky G, Meisner RJ, Labropoulos N, et al. Management of true aneurysms of hemodialysis access fistulas. J Vasc Surg. 2011;53:1291–7.

    Article  PubMed  Google Scholar 

  3. Lazarides MK, Georgiadis GS, Argyriou C. Aneurysm formation and infection in AV prosthesis. J Vasc Access. 2014;15:S120–4.

    Article  PubMed  Google Scholar 

  4. Yildirim S, Nursal TZ, Yildirim T, Tarim A, Caliskan K. Brachial artery pseudoaneurysm:a rare complication after haemodialysis therapy. Acta Chir Belg. 2005;105:190–3.

    CAS  PubMed  Google Scholar 

  5. Mantha ML, Baer R, Bailey GS, et al. Endovascular repair of a hemodialysis fistula aneurysm with covered stents. Kidney Int. 2009;76:918.

    Article  PubMed  Google Scholar 

  6. Georgiadis GS, Lazarides MK, Anagoutsos SA, et al. Surgical revision of complicated false and true vascular access-related aneurysms. J Vasc Surg. 2008;47:1284–91.

    Article  PubMed  Google Scholar 

  7. Ekim H, Tuncer M. Management of traumatic brachial artery injuries: a report on 49 patients. Ann Saudi Med. 2009;29:105–9.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Nambiar AK, Anand KT, Jayakrishnan AG. Venous aneurysm complicating dialytic arteriovenous fistula. Indian J Surg. 2012;74:491–2.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Yetkin U, Gurbuz A. Post-traumatic pseudoaneurysm of the brachial artery and its surgical treatment. Tex Heart Inst J. 2003;30:293–7.

    PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular and Thoracic Surgery, Rajagiri Hospital, Chunangamvely, Aluva, Kochi, Kerala, 683112, India

    George Jose Valooran, Shiv Kumar Nair & Rinett Sebastian

  2. Department of Anesthesiology, Rajagiri Hospital, Chunangamvely, Aluva, Kochi, Kerala, 683112, India

    Sachin George

Authors
  1. George Jose Valooran
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  2. Shiv Kumar Nair
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  3. Sachin George
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  4. Rinett Sebastian
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Correspondence to Shiv Kumar Nair.

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The authors declare that they have no conflict of interest.

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Valooran, G.J., Nair, S.K., George, S. et al. Acute limb-threatening ischemia following rupture of a brachial A-V fistula pseudoaneurysm. Indian J Thorac Cardiovasc Surg 32, 214–216 (2016). https://doi.org/10.1007/s12055-016-0441-6

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  • DOI: https://doi.org/10.1007/s12055-016-0441-6

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