Journal of Medicine and Life Science

Institute for Medical Science (제주대학교 의과학연구소)
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Pathologic change of an arterialized giant venous aneurysm of a brachiocephalic arteriovenous fistula

  • Su Wan Kim (Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University College of Medicine) ;
  • Jonggeun Lee (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Seogjae Lee (Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University College of Medicine) ;
  • Jee Won Chang (Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University College of Medicine) ;
  • Chang Lim Hyun (Department of Pathology, Jeju National University Hospital, Jeju National University College of Medicine)
  • Received : 2023.09.05
  • Accepted : 2023.11.28
  • Published : 2023.12.31
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Abstract

Aneurysmal venous dilatation is a frequent complication of arterio venous fistulas (AVFs) created for hemodialysis. Venous aneurysm rupture can lead to lethal hemorrhage. A 49-year-old male patient presented with a giant aneurysmal dilatation of his AVF 10 years after its creation. The patient had complaints of pulsating pain and discomfort due to swelling of the left forearm. We performed an aneurysm resection and revised the overlying dermal lesion through a brachial plexus block. Here, we describe the pathological features of the arterialized venous aneurysm compared to simple venous aneurysms.

Keywords

Acknowledgement

This work was supported by the 2023 education, research and student guidance grant funded by Jeju National University.

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