TY - JOUR
T1 - A Unique Presentation of an Anastomotic Pseudoaneurysm—Case Report
AU - Schweitzer, Eugene J.
AU - Matas, Arthur J
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1991/3
Y1 - 1991/3
N2 - A patient with end-stage renal disease treated with peritoneal dialysis had two old, thrombosed hemodialysis access grafts in her upper limb. She presented with the puzzling problem of a slowly recurring hematoma over the venous anastomo sis of the upper arm graft. When the hematoma was explored surgically, its source was not immediately apparent; however, when the arterial anastomosis of the upper arm graft was subsequently explored, a small anastomotic pseudoaneurysm was encountered. Blood from the pseudoaneurysm had been dissecting between the graft and its fibrous tunnel and slowly accumulating at the venous anastomosis. Pseudoaneurysms occur in less than 5% of dialysis access grafts. They almost invariably present as a pulsatile hematoma over the arterial anastomosis or over a needle hole in a patent graft. The case described herein is interesting because of its unique presentation.
AB - A patient with end-stage renal disease treated with peritoneal dialysis had two old, thrombosed hemodialysis access grafts in her upper limb. She presented with the puzzling problem of a slowly recurring hematoma over the venous anastomo sis of the upper arm graft. When the hematoma was explored surgically, its source was not immediately apparent; however, when the arterial anastomosis of the upper arm graft was subsequently explored, a small anastomotic pseudoaneurysm was encountered. Blood from the pseudoaneurysm had been dissecting between the graft and its fibrous tunnel and slowly accumulating at the venous anastomosis. Pseudoaneurysms occur in less than 5% of dialysis access grafts. They almost invariably present as a pulsatile hematoma over the arterial anastomosis or over a needle hole in a patent graft. The case described herein is interesting because of its unique presentation.
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U2 - 10.1177/153857449102500207
DO - 10.1177/153857449102500207
M3 - Article
AN - SCOPUS:0025876823
SN - 1538-5744
VL - 25
SP - 131
EP - 135
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 2
ER -