[The covering of the infected cubital vessels after complications of dialysis shunts by the use of the musculus brachioradialis].
The case of a 52-year-old patient with uremia and infection in his av-shunt (homologous saphenous vein) is described. Due to the infection a rupture of the venous anastomosis in the cubital area with acute hemorrhage occurred and the av-fistula had to be removed and the artery repaired by an autologous vein patch. To cover the exposed cubital artery and the infected ventral elbow area a brachioradial muscle flap was inserted. By this procedure the amputation of the upper extremity could be avoided. Full range of extension and flexion was obtained within 4 weeks.
Längle
F
F
Niederle
B
B
Piza-Katzer
H
H
D000714:Anastomosis, Surgical; D001158:Arteries / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical; D004550:Elbow; D006470:Hemorrhage; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D013524:Surgical Flaps
Die Deckung der infizierten Cubita nach Komplikationen eines Dialyseshunts under Verwendung des Musculus brachioradialis.