首页> 外文期刊>Vascular and endovascular surgery >Arterial Aneurysmal Degeneration With Venous Varicosity Following Ligation of an Arteriovenous Fistula in a Kidney Transplant Recipient
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Arterial Aneurysmal Degeneration With Venous Varicosity Following Ligation of an Arteriovenous Fistula in a Kidney Transplant Recipient

机译:在肾移植受体中连接静脉静脉曲张后的动脉动脉瘤变性

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摘要

Late occurrence of arterial aneurysms following ligation of a hemodialysis arteriovenous fistula (AVF) is rare. Here, we report the case of 51-year-old male patient with an AVF in which arterial aneurysms developed. The patient had undergone left arm radiocephalic (RC) AVF creation for hemodialysis in 2000. He had received a living related donor kidney transplantation from his father in the same year. His RC AVF was ligated in 2009. However, his arm continued to gradually grow in size even after ligation and he visited a hospital for acute pain and erythema around the left elbow in 2017. Since his renal allograft function had been deteriorating, duplex ultrasonography was performed. It revealed 2 giant aneurysms in the distal brachial artery and proximal radial artery with diameters of 3.0 and 2.8 cm, respectively. The superficial veins of the left upper arm showed varicosity and had multifocal thrombi. Microfistula between the artery and vein was revealed by contrast-enhanced ultrasonography and the contrast agent microbubbles flowed from the artery toward the superficial veins. The aneurysms were resected and the arteries were reconstructed with great saphenous vein. There were no perioperative complications and the patient was discharged on postoperative day 3. No complications in the arm or bypass conduit have occurred at 6 months after the surgery.
机译:在结扎血液透析中动脉瘘(AVF)后的动脉动脉瘤的后期发生是罕见的。在这里,我们将51岁男性患者举报,具有AVF,其中动脉瘤产生的AVF。患者于2000年左臂射精(RC)AVF为血液透析的AVF创作。他在同年的父亲中获得了与父亲的生活相关捐赠者肾移植。他的RC AVF于2009年结扎。然而,即使在结扎后,他的手臂也在继续逐渐增长,并且在2017年,他访问了一家医院的左肘周围的急性疼痛和红斑。由于他的肾同种异体移植功能劣化,双面超声检查表演。它在远端肱动脉和近端径向动脉中揭示了2个巨大动脉,分别为3.0和2.8厘米。左上臂的浅静脉显示出含有多焦点的血小板。通过对比度增强的超声和从动脉流向浅静脉的造影剂微泡来揭示动脉和静脉之间的微谱。切除动脉瘤,并用巨大的隐静脉重建动脉。没有围手术期并发症,患者在术后第3天出院。手术后6个月内没有发生手臂或旁路管道中的并发症。

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