Home Archive Vol.43, No.4, 2017 Adaptive and Pathological Reshuffling in the Venous Wall in Special Hemodynamic Conditions-Acquired Arteriovenous Fistula

Adaptive and Pathological Reshuffling in the Venous Wall in Special Hemodynamic Conditions-Acquired Arteriovenous Fistula

Daniela Marinescu(1), GEORGIANA GRAURE(2), M. BICA(1), ELENA CATALINA BICA(3), D. RADULESCU(1)

(1)University of Medicine and Pharmacy of Craiova, Department of Surgery, (2)County Clinical Emergency Hospital of Craiova, 1st Surgical Clinic, Resident Doctor, (3)University of Medicine and Pharmacy of Craiova, Department of Pediatrics

    Abstract: Hemodialysis and peritoneal dialysis are the two possible choices in chronic renal disease in the uremic stage. Native arteriovenous fistula is susceptible to complications, some posing vital risk and requiring prompt treatment. We present the case of a patient undergoing hemodialysis on native AVF. An aneurism developed progressively on the arterialized cephalic vein. The AVF was abolished by closing the arteriotomy with a venous patch and excising the aneurismal venous segment. The pathology exam of the surgical specimen showed unequal vessel wall thickness due to hyperplasia of the media and subintimal space, with calcifications within the hyperplastic media.
    Keywords: arteriovenous fistula, aneurysm, hemodialysis

DOI 10.12865/CHSJ.43.04.17 


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Volume 43 Issue 4 2017