Delayed presentation of traumatic infrapopliteal arteriovenous fistula and pseudoaneursym in a 10-year-old boy managed by coil embolization.
Blunt traumatic arteriovenous fistulae of the extremities are rare in children. We report the case of a 10-year-old boy with a traumatic infrapopliteal arteriovenous fistula and concomitant pseudoaneurysm diagnosed 2 months after he was struck by a car. It was definitively managed with coil embolization. Postprocedure, the vascular anatomy of the patient's right calf was well preserved. He had complete resolution of his symptoms immediately after the intervention and continues to do well 6 months later.
Department of Surgery, University of California-San Diego, San Diego, CA 92103-8402, USA. ptyu@ucsd.edu
Peter T
PT
Yu
Samuel
S
Rice-Townsend
John
J
Naheedy
Heidi
H
Almodavar
David P
DP
Mooney
D000063:Accidents, Traffic; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D001642:Bicycling / Q000293:injuries; D001930:Brain Injuries / Q000209:etiology; D002648:Child; D004487:Edema / Q000209:etiology; D004621:Embolization, Therapeutic / Q000295:instrumentation; D005360:Fibula / Q000293:injuries; D005596:Fractures, Closed / Q000209:etiology; D006801:Humans; D008297:Male; D009104:Multiple Trauma; D011152:Popliteal Vein / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D015641:Radiography, Interventional; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D013978:Tibial Fractures / Q000209:etiology; D013997:Time Factors