J Med Life Sci.
2023 Dec;20(4):178-182. 10.22730/jmls.2023.20.4.178.
Pathologic change of an arterialized giant venous aneurysm of a brachiocephalic arteriovenous fistula
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea
- 2Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea
- 3Department of Pathology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea
- KMID: 2561947
- DOI: http://doi.org/10.22730/jmls.2023.20.4.178
Abstract
- Aneurysmal venous dilatation is a frequent complication of arterio venous fistulas (AVFs) created for hemodialysis. Venous aneurysm rupture can lead to lethal hemorrhage. A 49-year-old male patient presented with a giant aneurysmal dilatation of his AVF 10 years after its creation. The patient had complaints of pulsating pain and discomfort due to swelling of the left forearm. We performed an aneurysm resection and revised the overlying dermal lesion through a brachial plexus block. Here, we describe the pathological features of the arterialized venous aneurysm compared to simple venous aneurysms.
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