medigraphic.com
Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2015, Number 2

<< Back Next >>

Rev Mex Angiol 2015; 43 (2)

Cierre con cirugía abierta de una fístula arteriovenosa postraumática de 24 años de evolución

Ramírez-González AH

Language: Spanish
References: 10
Page: 77-80
PDF size: 189.21 Kb.


ABSTRACT

Introduction. Arteriovenous fistula are frequently the result of a vascular trauma complication from a penetrating wound.
Objective. Present a clinical case that was treated 24 years after a vascular trauma occurred.
Material and methods. A 50 years old male patient, who was wounded at the right arm with a firearm projectile, 24 years ago. Diagnosis of an arteriovenous fistula was clinically made and the injury anatomy was detailed with an angiotomography. The injury was then repaired with open surgery.
Results. The patient presented immediate improvement, murmur and thrill disappeared and the injured limb presented volume reduction.
Conclusion. Arteriovenous post-traumatic fistulas are frequently diagnosed at a late stage. Clinical diagnose and its anatomy must be detailed using a Doppler duplex and angiographic studies. Endovascular surgery is the ideal method to correct this pathology. Conventional surgery remains as an excellent alternative.


REFERENCES

  1. Rich NM, Spencer FC. Historical aspects of vascular trauma. In: Vascular trauma. Philadelphia Saunders; 1978, p. 3-21.

  2. Mattox KL, Feliciano DV, Burch J, Beall Jr AC, Jordan Jr. GL, DeBakey ME. Five thousand seven hundred sixty cardiovascular injuries in 4459 patients epidemiologic evolution. Ann Surg 1989; 209(6): 698-705.

  3. Keiichiro Tayama, Hidetoshi Akashi, Shin-Ichi Hiromatsu, Teiji Okazaky, Yoshitake Tokokura, Shigeaki Aoyagi. Acquired arteriovenous fistula of the right forearm caused by repeated blunt trauma a report of rare case. Ann Thorac Cardiovasc Surg 2005; 11(1): 59-62.

  4. Rodríguez TJM, Oropeza MG, Hurtado RD, Borja MA. Fístula arteriovenosa después de laminectomía lumbar. Rev Mex Angiol 1995; 23(3): 60-5.

  5. Tayama K, Akashi H, Hiromatsu S, Okazaki T, Yokokura Y, Aoyagi S. Adquired arteriovenous fistula of a right forearm caused by repeated blunt trauma. Ann Thorac Cardiovasc Surg 2005; 11: 59-62.

  6. Reyes AOE, Martínez VJS, Carbajal CG, Ibáñez RJF, Silva SJ. Fístula arteriovenosa: reporte de 24 casos tratados. Rev Mex Angiol 1998; 26(4): 97-101.

  7. Gutiérrez CAR, Sánchez FC, Sigler ML, Gutiérres CAB, Lizola MRI, González CL, et al. Secuela de trauma vascular: fístulas arteriovenosas. Rev Mex Angiol 2008; 36(1): 21-9.

  8. Huang W, Villavicencio, Rich N. Delayed treatment and late complications of a traumatic arteriovenous fistula. J Vasc Surg 2005; 41: 715-7.

  9. Spirito R, Trabattoni P, Pamplio G, Zoli S, Agrifoglio M, Biglioli P. Endovascular treatment of post-traumatic tibial pseudoaneurysm and arteriovenous fistula: Case report and review of the literture. J Vasc Surg 2007; 45: 1076-9.

  10. Marin ML, Veith FJ, Panetta T, Cynamon J, Barone H, Shonholz C, Parodi JC. J Vasc Surg 1993; 18: 299-302.




2020     |     www.medigraphic.com