[Complications of antecubital arteriovenous fistula].
A serious complication following the insertion of an a-v shunt for dialysis in a 41-year-old man is reported. Three weeks after the operation, arterial and venous circulatory disturbances occurred in the hand, accompanied by cyanosis distally of the shunt and a lymphatic fistula in the operated cubical area, and followed by the symptoms of a compartment syndrome in the forearm with impaired mobility of the hand. In order to restore normal hemodynamic conditions, the shunt was interrupted and the infected area covered by a local flap. Several weeks later a false aneurysm developed and the circulation had to be reconstructed by an extra-anatomic vein graft. At present the hand is functionally fully rehabilitated.
Abteilung für Plastische- und Wiederherstellungschirurgie, Krankenhauses Lainz, Wien.
H
H
Piza-Katzer
P
P
Laszloffy
R
R
Schidrich
D000328:Adult; D000714:Anastomosis, Surgical; D001164:Arteriovenous Fistula; D003161:Compartment Syndromes / Q000601:surgery*; D004550:Elbow / Q000098:blood supply; D006225:Hand / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D006435:Renal Dialysis; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000601:surgery*
Komplikationen einer antekubitalen arteriovenösen Fistel.