Aneurysmatic dilatation of popliteal and femoral artery due to long-standing traumatic arteriovenous fistula.
A 65-year-old woman presented with an extensive femoropopliteal aneurysm discovered after a long-standing (24 years) post-traumatic arteriovenous fistula (AVF). Her complaints began after trauma. All arterial dilatations discovered during the course of an AVF must be treated because of the risk of rupture. With the advent of arterial reconstructive procedures, the surgical approach to popliteal aneurysm became and remains excision and graft interposition or by-pass graft with concomitant aneurysm ligation. Of all available graft material the autogenous saphenous vein remains the best material for arterial reconstruction. The diagnostic technics, therapeutic procedures and possible complications are discussed with literature review. The etiology of aneurysm that develop proximal to AVF is reviewed.
Ozcan
F
F
Division of Vascular and Orthopaedic Surgery, Farabi Hospital Karadeniz Technical University, Trabzon, Turkey.
Baki
C
C
Pişkin
B
B
Kaptanoğlu
M
M
Yavaş
D
D
D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging*; D000792:Angiography; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging*; D005260:Female; D005263:Femoral Artery / Q000293:injuries*; D006801:Humans; D011150:Popliteal Artery / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000150:complications*