Recurrent pseudoaneurysm at the level of arteriovenous fistula in the left arm

Osvaldo Valdés Dupeyron Hospital Verdi Cevallos Balda, Universidad Técnica de Manabí, Portoviejo, Ecuador
Gustavo E. Salvador Dávila Ásmerp, Metrodial Portoviejo, Portoviejo, Ecuador
Lisette Rodríguez Marcos Hospital de Especialidades Portoviejo, Portoviejo, Ecuador
Sara Maylee Loor Mendoza Universidad Técnica de Manabí, Portoviejo, Ecuador
Janse Johan Loor Carrera Universidad Técnica de Manabí, Portoviejo, Ecuador
Dayree C. Vargas Pereira Ásmerp, Metrodial Portoviejo, Portoviejo, Ecuador

Keywords: pseudoaneurysm, arteriovenous fistula with prosthesis, humeral artery repair

Abstract

Pseudoaneurysm is damage to the arterial wall, contained by the surrounding hematoma and neighboring structures, with turbulent blood flow, which maintains communication with the lumen of the affected vessel. The present study describes a 57-year-old male patient who was admitted with a diagnosis of left cephalic humeral arteriovenous fistula pseudoaneurysm. The false aneurysm was excised, and a new fistula was created with a vascular prosthesis. The patient was readmitted in the fifth month with a giant pulsatile mass at the surgical site. Surgical exploration was performed, excision of the recurrent pseudoaneurysm and a new left humerus-basilic fistula with saphenous vein. He is progressing favorably, performing dialysis two years after the last surgery without complications.

References

1) Ayala Struba MA, Manzano Grossia MS, Ligero Ramosa JM. Fístulas arterio-venosas para hemodiálisis [Internet]. Nefrología al Día. Disponible en: https://www.nefrologiaaldia.org/332 (consulta: 10/02/2021).

2) Ibeas J, Roca-Tey R, Vallespín J, Moreno T, Moñux G, Martí-Monrós A, et al. Guía clínica española del acceso vascular para hemodiálisis. Nefrología. 2017;37(Supl. 1):1-191. doi: 10.1007/s00068-020-01546-3.

3) Jaiswal LS, Pandit N, Prasad JN, Adhikary S. Pseudoaneurysm of peripheral arteries: our experience in a community-based hospital. Indian J Vasc Endovasc Surg. 2019;6(2):102-6. doi: 10.4103/ijves.ijves_66_18.

4) Joshi AS, Agrawal DP. Arteriovenous fistula takedown in hemodialysis patients: our experience of 26 cases. Kardiochir Torakochirurgia Pol. 2020;17(3):132-6. doi: 10.5114/kitp.2020.99076.

5) Rivera PA, Dattilo JB. Pseudoaneurysm [Internet]. StatPearls, 2020. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/31194401 (consulta: 10/02/2021).

6) Leite T, Pires M, Pires L, Chagas C, Oliveira AC. Giant iatrogenic pseudoaneurysm of the brachial artery: A case report. Int J Surg Case Rep. 2017;37:193-95. doi: 10.1016/j.ijscr.2017.06.044.

7) Cox N, Sahnan K, Yee CP, Sritharan K. Brachial artery pseudoaneurysm arising from the stump of a ligated arteriovenous fistula. BMJ Case Rep. 2015;2015:bcr2014206993. doi: 10.1136/bcr-2014-206993.

8) Jayroe H, Foley K. Arteriovenous fistula [Internet]. StatPearls, 2020. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK559213 (consulta: 10/02/2021).

9) Tellis VA, Kohlberg WI, Bhat DJ, Driscoll B, Veith FJ. Expanded polytetrafluoroethylene graft fistula for chronic hemodialysis. Ann Surg. 1979;189(1):101-5. doi: 10.1097/00000658-197901000-00019.

10) Mudoni A, Cornacchiari M, Gallieni M, Guastoni C, McGrogan D, Logias F, et al. Aneurysms and pseudoaneurysms in dialysis access. Clin Kidney J. 2015;8(4):363-7. doi: 10.1093/ckj/sfv042.

11) Henry JC, Franz RW. Pseudoaneurysms of the peripheral arteries. Int J Angiol. 2019;28(1):20-4. doi: 10.1055/s-0039-1677676.

12) de Oliveira TP, dos Santos Oliveira R, Ramos da Silva L. Pseudoaneurisma de fístula arteriovenosa: relato de caso. Rev Patol do Tocantins. 2020;7(2):88-90. doi: 10.20873/uft.2446-6492.2020v7n2p88.

13) Delf J, Ramachandran S, Mustafa S, Saeed A, Kandiyil N. Factors associated with pseudoaneurysm development and necessity for reintervention: a single centre study. Br J Radiol. 2019;92(1098):20180893. doi: 10.1259/bjr.20180893.

Published

2022-03-16

How to Cite

Valdés Dupeyrón O, Salvador Dávila GE, Rodríguez Marcos L, Loor Mendoza SM, Loor Carrera JJ, Vargas Pereira DC. Recurrent pseudoaneurysm at the level of arteriovenous fistula in the left arm. Rev Nefrol Dial Traspl. [Internet]. 2022Mar.16 [cited 2024Dec.27];42(1):69-3. Available from: http://vps-1689312-x.dattaweb.com/index.php/rndt/article/view/759

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Issue

Vol. 42 No. 1 (2022): Jan.-March

Section

Case Report

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