Document Detail

Treatment of rare posttraumatic false aneurism and A-V fistula of the deep femoral artery and vein.
MedLine Citation:
PMID:  20422829     Owner:  NLM     Status:  MEDLINE    
Article presents a rare case of posttraumatic pseudoaneurysm and A-V fistula between deep femoral artery and vein in 16 year old patient with stab wound in middle third of the lateral side of left femoral region. There were no signs of arterial injury on initial angiogram. During the observation we noticed subcutaneous bruise on the posterior side of the femoral region, and strong systolic murmur by ordinary auscultation over the involved region as a significant sign of the A-V fistula. At day 3, CT angiogram and Doppler analysis showed 4 cm sized false aneurysm combined with A-V fistula between distal portion of the deep femoral artery and vein. We made ipsilateral transfemoral catheterization and coiling of the feeding arterial branch with good immediate result, but at next Doppler checking, appearance of the same picture was disappointing. After we recognized retrograde filling through distal collateral artery, technically unsuitable for endovascular procedure, conventional surgery with posterolateral approach was indicated. An excision of the pseudoaneurysm, and ligation of the A-V fistula was done with good postoperative result. Conclusion: Obliterative endovascular procedure is a method of choice, but sometimes can not guarantee satisfactory result. In those cases conventional surgery is recommended.
Amel Hadzimehmedagic; Haris Vranic; Ismet Gavrankapetanovic; Semin Be?irbegovic; Mirsad Kacila; Besima Hadzihasanovic; Adnana Talic
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medicinski arhiv     Volume:  64     ISSN:  0350-199X     ISO Abbreviation:  Med Arh     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-28     Completed Date:  2010-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400722     Medline TA:  Med Arh     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  53-4     Citation Subset:  IM    
Clinic for Orthopedics and Traumatology, Clinical Center of University of Sarajevo, Bosnia and Herzegovina.
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MeSH Terms
Aneurysm, False / etiology,  radiography,  surgery*
Arteriovenous Fistula / etiology,  radiography,  surgery*
Femoral Artery / injuries*,  radiography,  surgery
Femoral Vein / injuries*,  radiography,  surgery
Wounds, Stab / complications*

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