title: A large aneurysm in an arterio-venous fistula for renal access in a pregnant young woman.
abstract: Pregnancy is known to increase the risk of aneurysm formation, likely by a combination of histological changes in vessel walls associated with the hormones of pregnancy and the haemodynamic changes to the circulation. To our knowledge this is the first case of a pregnant woman with a brachial-cephalic arterio-venous fistula (AVF) that had never been needled for haemodialysis, yet became hugely aneurysmal during her pregnancy.
authors.affiliation: Vascular Surgery, King's College Hospital, London, UK.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Stephenson
authors.forename: Emily C M
authors.initials: EC
authors.lastname: Neate
authors.forename: Hiren
authors.initials: H
authors.lastname: Mistry
authors.forename: Domenico
authors.initials: D
authors.lastname: Valenti
mesh_terms: D000783:Aneurysm / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D001132:Arm / Q000098:blood supply*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006435:Renal Dialysis; D055815:Young Adult