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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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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. |
first_indexed | 2024-12-14T22:22:15Z |
format | Article |
id | doaj.art-7ab21b60fb8d4ff587625730edcc3d29 |
institution | Directory Open Access Journal |
issn | 0972-0820 2394-0999 |
language | English |
last_indexed | 2024-12-14T22:22:15Z |
publishDate | 2021-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Vascular and Endovascular Surgery |
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 |
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