title: Brachial artery aneurysm with "blue finger syndrome" after ligation of a remote brachial artery-cephalic vein fistula.
abstract: Upper extremity aneurysms are relatively infrequent when compared to other vessels in the body. However, a combination of factors occurring following arteriovenous fistula (AVF) ligation can lead to dilation of the brachial artery. Periodic follow-up after AVF creation can help prevent complications. We report a case of an immunosuppressed, patient with renal transplant who presented with delayed onset digital ischemia following ligation of a remotely created brachial artery-cephalic vein fistula.
authors: Lehigh Valley Health Network, Allentown, PA 18105, USA. RamonGarza3@gmail.com
authors: Ramon
authors: R
authors: Garza
authors: Dale A
authors: DA
authors: Dangleben
authors: John F
authors: JF
authors: Welkie
mesh_terms: D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001166:Arteriovenous Shunt, Surgical; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects; D008026:Ligation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011859:Radiography; D006435:Renal Dialysis; D051437:Renal Insufficiency / Q000628:therapy*; D012086:Reoperation; D012307:Risk Factors; D012501:Saphenous Vein / Q000637:transplantation; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*; D014680:Veins / Q000601:surgery
chemical_list: D007166:Immunosuppressive Agents
keywords: aneurysm; digital ischemia; immunosuppression; transplant; vascular access