Document Detail

Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula.
MedLine Citation:
PMID:  18178475     Owner:  NLM     Status:  MEDLINE    
We report about a young patient with a large aneurysm of the left external iliac vein associated with a traumatic arteriovenous fistula between the left superficial femoral artery and the femoral vein after a stab wound 20 years ago. The patient presented with swelling of the left leg, which developed during the past years and worsened after saphenectomy 12 months before hospital admission. The chronically hyperperfused common iliac artery proximal to the arteriovenous fistula was compressing the common iliac vein. The venous outflow obstruction and subsequent venous hypertension render a possible explanation for the formation of the iliac vein aneurysm. Surgical repair of the venous aneurysm by interposition grafting and closure of the arteriovenous fistula was successful. A postoperative computed tomography scan showed a 50% size reduction of the feeding artery, underlining the ability of the arterial system to normalize arterial diameter in response to flow reduction, even after a high flow situation had existed for probably >20 years.
Peter J Kuhlencordt; Ulrich Linsenmeyer; Antje Rademacher; Mojtaba Sadeghi-Azandaryani; Bernd Steckmeier; Ulrich Hoffmann
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  47     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-07     Completed Date:  2008-02-28     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  205-8     Citation Subset:  IM    
Division of Vascular Medicine, Ludwig-Maximilians University, Pettenkofer Strasse 8a, Munich, Germany.
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MeSH Terms
Arteriovenous Fistula / complications*,  etiology,  pathology,  surgery
Blood Vessel Prosthesis Implantation
Femoral Artery* / pathology,  surgery
Femoral Vein* / pathology,  surgery
Iliac Aneurysm / etiology*,  pathology,  surgery
Middle Aged
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Color
Wounds, Stab / complications*

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