Chronic leg swelling and palpitation as a late complication of post-traumatic arteriovenous fistula: A case report

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• 作者：Mehmet Kalender ; ^{ka97084@yahoo.com" class="auth_mail" title="E-mail the corresponding author} ; Ahmet Nihat Baysal ^{anbaysal@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Mustafa Dagli ^{drmustafaaa@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Hayat Gokmengil ^{hayatgokmengil@yahoo.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Cardiovascular disease ; Trauma ; Arteriovenous fistula ; Lower extremity
• 刊名：Trauma Case Reports
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：2
• 期：Complete
• 页码：16-20
• 全文大小：629 K

文摘

Chronic post-traumatic arteriovenous fistula (AVF) is a late complication of vascular injury and can be presented with symptoms of congestive heart failure, venous hypertension and distal ischaemia. We present an unusual case of chronic leg swelling in adult caused by post-traumatic AVF.

Case presentation

A 52 year old white-male patient complained of palpitation, pain and swollen right leg. Arterial pulses distally from the groin were present. His medical history revealed him to have sustained gunshot injury of the left thigh 5 years before. Angiography showed a large AVF between superficial femoral artery and femoral vein. The patient underwent surgical repair of AVF with ligation of AVF between superficial femoral artery under spinal anaesthesia. Completion angiography confirmed AVF exclusion. Leg swelling healed within a month.

Conclusion

Post-traumatic fistula should be obliterated as soon as possible. Untreated fistula results in complications including renin-mediated hypertension and high-output heart failure, venous and/or arterial insufficiency.