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Surgical management of multiple posttraumatic arteriovenous fistulas of femoral vessels.

Identifieur interne : 006924 ( Main/Exploration ); précédent : 006923; suivant : 006925

Surgical management of multiple posttraumatic arteriovenous fistulas of femoral vessels.

Auteurs : A V Pokrovsky [Russie] ; A A Shubin ; G I Kuntsevich ; V V Subbotin ; D S Suntsov

Source :

RBID : pubmed:19156067

Descripteurs français

English descriptors

Abstract

Presented herein are two case reports concerning surgical management of posttraumatic arteriovenous fistulas of femoral vessels. Case 1. A 45-year-old female patient attended with a history of a shotgun injury wound of her left femur and crus sustained when a girl of eight. She sought medical attention for a progressively deteriorating condition, accompanied by pain, and breathlessness dyspnea at rest. Detected were multiple fistulas between the deep femoral artery and superficial femoral artery and femoral vein. Management consisted in separation of the arteriovenous fistulas, followed by prosthetic repair of the deep femoral artery. Case 2. A 32-year-old male patient after an accidentally inflicted shotgun injury of the his left femur underwent within a time period of 3 year three vascular operations including ligation of the deep femoral artery and femoral vein followed by having later on developed secondary lymphedema of his left lower limb and pronounced manifested chronic venous insufficiency. Management included dissociation of the numerous arteriovenous fistulas between the branches of the deep femoral artery and the common femoral artery, as well as between the superficial femoral artery and femoral vein.

PubMed: 19156067


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Le document en format XML

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<term>Angiography</term>
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<term>Femoral Artery (diagnostic imaging)</term>
<term>Femoral Artery (injuries)</term>
<term>Femoral Artery (surgery)</term>
<term>Femoral Vein (diagnostic imaging)</term>
<term>Femoral Vein (injuries)</term>
<term>Femoral Vein (surgery)</term>
<term>Fistula (diagnostic imaging)</term>
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<term>Fistula (surgery)</term>
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<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
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<term>Artère fémorale ()</term>
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<term>Artère fémorale (traumatismes)</term>
<term>Femelle</term>
<term>Fistule ()</term>
<term>Fistule (imagerie diagnostique)</term>
<term>Fistule (étiologie)</term>
<term>Humains</term>
<term>Insuffisance veineuse ()</term>
<term>Insuffisance veineuse (imagerie diagnostique)</term>
<term>Insuffisance veineuse (étiologie)</term>
<term>Maladie chronique</term>
<term>Plaies par arme à feu ()</term>
<term>Procédures de chirurgie vasculaire ()</term>
<term>Veine fémorale ()</term>
<term>Veine fémorale (imagerie diagnostique)</term>
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<div type="abstract" xml:lang="en">Presented herein are two case reports concerning surgical management of posttraumatic arteriovenous fistulas of femoral vessels. Case 1. A 45-year-old female patient attended with a history of a shotgun injury wound of her left femur and crus sustained when a girl of eight. She sought medical attention for a progressively deteriorating condition, accompanied by pain, and breathlessness dyspnea at rest. Detected were multiple fistulas between the deep femoral artery and superficial femoral artery and femoral vein. Management consisted in separation of the arteriovenous fistulas, followed by prosthetic repair of the deep femoral artery. Case 2. A 32-year-old male patient after an accidentally inflicted shotgun injury of the his left femur underwent within a time period of 3 year three vascular operations including ligation of the deep femoral artery and femoral vein followed by having later on developed secondary lymphedema of his left lower limb and pronounced manifested chronic venous insufficiency. Management included dissociation of the numerous arteriovenous fistulas between the branches of the deep femoral artery and the common femoral artery, as well as between the superficial femoral artery and femoral vein.</div>
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