Skip Navigation


NDT Advance Access originally published online on July 10, 2009
Nephrology Dialysis Transplantation 2009 24(11):3542-3544; doi:10.1093/ndt/gfp337
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
24/11/3542    most recent
gfp337v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Lam, W.
Right arrow Articles by Chemla, E. S.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lam, W.
Right arrow Articles by Chemla, E. S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2009. Published by Oxford University Press [on behalf of ERA-EDTA]. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Enormous brachio-cephalic arteriovenous fistula aneurysm after renal transplantation: case report and review of the literature

Wayne Lam, Dibendu Betal, Mohammed Morsy and Eric S. Chemla

Department of Renal Medicine and Transplantation, St George's Hospital, London, SW17 0QT, UK

Correspondence and offprint requests to: Eric Chemla; E-mail: eric.chemla@stgeorges.nhs.uk



  Abstract

Creation of arteriovenous fistulae provides readily available vascular access for haemodialysis in patients with end-stage renal disease. However, it is associated with various potentially serious complications if left unattended.

We report a case of a 73-year-old male presenting with an enormous brachio-cephalic fistula aneurysm measuring 70–5.4 cm 20 years after successful renal transplantation. Despite attending regular renal outpatient clinic follow-up, this was only noticed as an incidental finding when the patient attended the emergency department after a fall that severely bruised his access. The patient subsequently underwent ligation with complete removal of the aneurismal fistula and discharged to a rehabilitation unit 3 days post-operatively.

Systematic closure of an arteriovenous fistula should be considered in all patients after successful renal transplantation to avoid potentially catastrophic complications of an arteriovenous fistula. In patients in whom the closure of vascular access is contraindicated, it is crucial to regularly assess the status of any arteriovenous fistula when following up patients after renal transplantation.

Keywords: aneurysm; aneurysm ligation; arteriovenous fistula; dialysis; transplant

Received for publication: 18. 5.09
Accepted in revised form: 18. 6.09


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.