Document Detail

Is There a Link between the Late Occurrence of a Brachial Artery Aneurysm and the Ligation of an Arteriovenous Fistula?
MedLine Citation:
PMID:  20629969     Owner:  NLM     Status:  In-Data-Review    
Arteriomegaly and aneurysms proximal to long-standing posttraumatic arteriovenous fistulas (AVF) have been described. Much fewer are the reports of the late occurrence of brachial artery aneurysms following the closure of a hemodialysis AVF. Here, we report the case of a 55-year-old male patient. He had received a cadaver donor kidney transplant in 1996; his distal radiocephalic (RC) wrist AVF in the left arm had been ligated in 2001; he developed an aneurysm of the left brachial artery 9 years after the ligation of the AVF (2009). He underwent the surgical intervention of aneurysmectomy at the level of the left brachial artery with construction of a bypass with autologous saphenous vein. In conclusion, the development of a RC wrist AVF is an intrinsically dynamic process characterized by the increase in both blood flow rate and internal diameter of the brachial artery; the latter might be associated with enhanced fracture of the elastic fibers with the consequent risk of the development of an aneurysm. Thus, arteriomegaly and aneurysm of the brachial artery proximal to long-standing AVFs might be seen as a "continuum" of these morphologic modifications.
Carlo Basile; Maurizio Antonelli; Pasquale Libutti; Annalisa Teutonico; Francesco Casucci; Carlo Lomonte
Related Documents :
17043439 - Intracranial dural arteriovenous fistula draining into spinal perimedullary veins: a ra...
1486979 - Systemic to pulmonary vascular malformation.
19774139 - Intracranial dural arteriovenous fistulas: a review.
20470689 - Vertebral artery aneurysms and cervical arteriovenous fistulae in patients with neurofi...
17670229 - Huge arteriovenous malformation due to chronic infection.
18639109 - Staged surgery for a large cerebral arteriovenous malformation to prevent the overload ...
2121739 - Cerebral angiography with gaseous carbon dioxide co2.
1962359 - Evaluation of internal carotid artery stenosis by transcranial doppler ultrasonography ...
539339 - Bilateral renal artery stenosis/occlusion and renovascular hypertension. correlation of...
Publication Detail:
Type:  Journal Article     Date:  2010-07-08
Journal Detail:
Title:  Seminars in dialysis     Volume:  24     ISSN:  1525-139X     ISO Abbreviation:  Semin Dial     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-06-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  United States    
Other Details:
Languages:  eng     Pagination:  341-2     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley Periodicals, Inc.
Division of Nephrology, Miulli General Hospital, Acquaviva delle Fonti, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Loss of nuclear receptor RXR? in epidermal keratinocytes promotes the formation of Cdk4-activated in...
Next Document:  Pathogenicity and molecular characterization of emerging porcine reproductive and respiratory syndro...