Korean J Med.  2015 Apr;88(4):430-433. 10.3904/kjm.2015.88.4.430.

Pulmonary Thromboembolism - A Complication after Surgical Repair of a Chronic Femoral Arteriovenous Fistula

Affiliations
  • 1Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. flammeus1@gmail.com
  • 2Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Abstract

Rarely, an arteriovenous fistula (AVF) can follow a femoral arterial puncture for cardiovascular catheterization. Surgical repair has been suggested as the standard treatment. We report a 66-year-old woman with a pulmonary thromboembolism as a complication of surgical repair of a chronic femoral AVF. We believe that the repair of the AVF led to a sudden decrease in venous blood flow, leading to thrombus formation at the site of damaged endothelium. Therefore, doctors should consider all possible complications that can arise from a sudden change in blood flow as a result of repairing a chronic AVF.

Keyword

Pulmonary thromboembolism; Arteriovenous fistula; Postoperative complications

MeSH Terms

Aged
Arteriovenous Fistula*
Catheterization
Catheters
Endothelium
Female
Humans
Postoperative Complications
Pulmonary Embolism*
Punctures
Thrombosis
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