Long-standing traumatic femoro-femoral arteriovenous fistula presenting with congestive cardiac failure after 35 years

Acquired arteriovenous fistulas (AVFs) could either be traumatic or iatrogenic, though a spontaneous etiology was described by Syme in 1831. Penetrating injuries from stab wounds account for a large proportion of civilian cases of traumatic AVFs. Chronic or long-standing AVFs are characterized by si...

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Main Authors: Olugbenga Olalekan Ojo, Uvie Ufuoma Onakpoya, Anthony Olubunmi Akintomide, Anthony Taiwo Adenekan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Vascular and Endovascular Surgery
Subjects:
Online Access:http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=176;epage=178;aulast=Ojo
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author Olugbenga Olalekan Ojo
Uvie Ufuoma Onakpoya
Anthony Olubunmi Akintomide
Anthony Taiwo Adenekan
author_facet Olugbenga Olalekan Ojo
Uvie Ufuoma Onakpoya
Anthony Olubunmi Akintomide
Anthony Taiwo Adenekan
author_sort Olugbenga Olalekan Ojo
collection DOAJ
description Acquired arteriovenous fistulas (AVFs) could either be traumatic or iatrogenic, though a spontaneous etiology was described by Syme in 1831. Penetrating injuries from stab wounds account for a large proportion of civilian cases of traumatic AVFs. Chronic or long-standing AVFs are characterized by significant shunting of blood from the arterial to the venous system. We report a case of a large traumatic femoral AVF, presenting with features of congestive cardiac failure (CCF), in a 54-year-old male after a remote stab injury to the right groin. The patient had also developed signs of unilateral chronic venous insufficiency in the involved limb. Following clinical examination, duplex ultrasound, and computed tomography angiography, the diagnosis of chronic AVF was confirmed. He successfully underwent open surgical repair with a dramatic resolution of symptoms of CCF.
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spelling doaj.art-7ab21b60fb8d4ff587625730edcc3d292022-12-21T22:45:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992021-01-018217617810.4103/ijves.ijves_84_20Long-standing traumatic femoro-femoral arteriovenous fistula presenting with congestive cardiac failure after 35 yearsOlugbenga Olalekan OjoUvie Ufuoma OnakpoyaAnthony Olubunmi AkintomideAnthony Taiwo AdenekanAcquired arteriovenous fistulas (AVFs) could either be traumatic or iatrogenic, though a spontaneous etiology was described by Syme in 1831. Penetrating injuries from stab wounds account for a large proportion of civilian cases of traumatic AVFs. Chronic or long-standing AVFs are characterized by significant shunting of blood from the arterial to the venous system. We report a case of a large traumatic femoral AVF, presenting with features of congestive cardiac failure (CCF), in a 54-year-old male after a remote stab injury to the right groin. The patient had also developed signs of unilateral chronic venous insufficiency in the involved limb. Following clinical examination, duplex ultrasound, and computed tomography angiography, the diagnosis of chronic AVF was confirmed. He successfully underwent open surgical repair with a dramatic resolution of symptoms of CCF.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=176;epage=178;aulast=Ojoacquiredarteriovenous fistulacongestive cardiac failureiatrogenicopen surgical repairtraumatic
spellingShingle Olugbenga Olalekan Ojo
Uvie Ufuoma Onakpoya
Anthony Olubunmi Akintomide
Anthony Taiwo Adenekan
Long-standing traumatic femoro-femoral arteriovenous fistula presenting with congestive cardiac failure after 35 years
Indian Journal of Vascular and Endovascular Surgery
acquired
arteriovenous fistula
congestive cardiac failure
iatrogenic
open surgical repair
traumatic
title Long-standing traumatic femoro-femoral arteriovenous fistula presenting with congestive cardiac failure after 35 years
title_full Long-standing traumatic femoro-femoral arteriovenous fistula presenting with congestive cardiac failure after 35 years
title_fullStr Long-standing traumatic femoro-femoral arteriovenous fistula presenting with congestive cardiac failure after 35 years
title_full_unstemmed Long-standing traumatic femoro-femoral arteriovenous fistula presenting with congestive cardiac failure after 35 years
title_short Long-standing traumatic femoro-femoral arteriovenous fistula presenting with congestive cardiac failure after 35 years
title_sort long standing traumatic femoro femoral arteriovenous fistula presenting with congestive cardiac failure after 35 years
topic acquired
arteriovenous fistula
congestive cardiac failure
iatrogenic
open surgical repair
traumatic
url http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=176;epage=178;aulast=Ojo
work_keys_str_mv AT olugbengaolalekanojo longstandingtraumaticfemorofemoralarteriovenousfistulapresentingwithcongestivecardiacfailureafter35years
AT uvieufuomaonakpoya longstandingtraumaticfemorofemoralarteriovenousfistulapresentingwithcongestivecardiacfailureafter35years
AT anthonyolubunmiakintomide longstandingtraumaticfemorofemoralarteriovenousfistulapresentingwithcongestivecardiacfailureafter35years
AT anthonytaiwoadenekan longstandingtraumaticfemorofemoralarteriovenousfistulapresentingwithcongestivecardiacfailureafter35years