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
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- 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.
- KMID: 2269128
- DOI: http://doi.org/10.3904/kjm.2015.88.4.430
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.
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