Ulnar-basilic arteriovenous fistula with multilocular gigantic aneurysmal dilatation: a case report

Emil-Marian Arbănaşi; Eliza Russu; Adrian Vasile Mureşan; Eliza-Mihaela Arbănaşi; Reka Kaller

doi:10.2478/amma-2021-0035

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Ulnar-basilic arteriovenous fistula with multilocular gigantic aneurysmal dilatation: a case report

Acta Marisiensis - Seria Medica

Volume 67 (2021): Issue 4 (December 2021)

By: Emil-Marian Arbănaşi, Eliza Russu, Adrian Vasile Mureşan, Eliza-Mihaela Arbănaşi and Reka Kaller

Open Access

|Dec 2021

Abstract

Introduction: Arteriovenous fistula dysfunction has been associated with a range of problems such as thrombosis, stenosis, dilatation, and infection.

Case presentation: We present the case of a 64-year-old patient with chronic kidney disease on hemodialysis and with aneurysmal dilatation of the ulnar-basilic arteriovenous fistula, having an increased risk of rupture. A temporary dialysis catheter is placed in the left femoral vein, an aneurysmal basilic vein is ligated at the anastomosis, aneurysmal dilatation is emptied by compression, and a right radiocephalic arteriovenous fistula is performed. The patient undergoes hemodialysis on the second day and subsequently three times a week for six weeks until the new arteriovenous fistula develops. He returns for aneurysmal sac resection.

Conclusion: The purpose of this paper is the presentation and management of a 15-year-old ulnar-basilic arteriovenous fistula with multilocular aneurysmal development and an imminent rupture.

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Articles in this issue

DOI: https://doi.org/10.2478/amma-2021-0035 | Journal eISSN: 2668-7763 | Journal ISSN: 2668-7755

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Language: English

Page range: 244 - 246

Submitted on: Oct 10, 2021

Accepted on: Oct 27, 2021

Published on: Dec 30, 2021

Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

aneurysm,

arteriovenous fistula,

hemodialysis,

vascular access,

chronic kidney disease

Related subjects:

Medicine,

Clinical medicine,

Clinical medicine, other

© 2021 Emil-Marian Arbănaşi, Eliza Russu, Adrian Vasile Mureşan, Eliza-Mihaela Arbănaşi, Reka Kaller, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 67 (2021): Issue 4 (December 2021)