| 篇名 |
Surgical Repair of Infected Pseudoaneurysm Originating from Native Arteriovenous Fistula for Hemodialysis: Report of a Case |
| 作者 |
Robert J Chen, Yi-Cheng Chuang, Kuo-Chen Lee, Chung-Yi Chang, Jeng Wei, Sung-How Sue |
| 卷期/出版年月 |
41卷2期 (2008/4) |
| 頁次 |
56-60 |
| 摘要 |
Infection secondary to an autogenous vascular access, or an arteriovenous fistula(AVF), is low in terms of incidence, but its course may be fulminant. We report a case of a 27-year-old female, presenting with chills, fever, and a rapidly-progressive pulsatile mass on her left elbow within three days. Infected pseudoaneurysm from hemodialysis vascular access was highly suspected. Her condition went downhill at the intensive care unit and emergent surgery was carried out. Suture ligation and antibiotics were not adequate due to her friable and pus-flooded tissue. We performed debridement, segmental resection of the infected fistula, and bypass surgery for the left brachial artery with a saphenous vein graft. The postoperative course was smooth. The purpose of this article is to show the importance of timely consultation and proper surgical reconstruction by cardiovascular surgeons for the maximum benefits of the patients with infected pseudoaneurysms. |
| 關鍵詞 |
infected pseudoaneurysm, vascular access, autogenous fistula |
| 分類 |
Case Report |
