Ulnar-basilic arteriovenous fistula with multilocular gigantic aneurysmal dilatation: a case report

Emil Marian Arbanasi; Eliza Russu; Adrian Vasile Muresan; Eliza Mihaela Arbanasi; Reka Kaller

doi:10.2478/amma-2021-0035

Emil Marian Arbanasi Clinic of Vascular Surgery, Târgu-Mureș County Emergency Hospital, 540136, Târgu-Mureș, Romania https://orcid.org/0000-0002-1664-8130
Eliza Russu Clinic of Vascular Surgery, Târgu-Mureș County Emergency Hospital, 540136, Târgu-Mureș, Romania https://orcid.org/0000-0003-1200-6138
Adrian Vasile Muresan Clinic of Vascular Surgery, Târgu-Mureș County Emergency Hospital, 540136, Târgu-Mureș, Romania
Eliza Mihaela Arbanasi Faculty of Pharmacy, University of Medicine, Pharmacy, Science and Technology “George Emil Palade” of Târgu-Mureș, 540139, Târgu-Mureș, Romania
Reka Kaller Clinic of Vascular Surgery, Târgu-Mureș County Emergency Hospital, 540136, Târgu-Mureș, Romania

DOI: https://doi.org/10.2478/amma-2021-0035

Keywords: aneurysm, arteriovenous fistula, hemodialysis, vascular access, chronic kidney disease

Abstract

Introduction: Arteriovenous fistula dysfunction has been associated with a range of problems such as thrombosis, stenosis, dilatation, and infection.

Case presentation: We present the case of a 64-year-old patient with chronic kidney disease on hemodialysis and with an aneurysmal dilatation ulnar-basilic arteriovenous fistula having an increased risk of rupture. A temporary dialysis catheter is placed in the left femoral vein, and aneurysmal basilic veins are ligated at the anastomosis, aneurysmal dilatations are emptied by compression, and a right radiocephalic arteriovenous fistula is done. The patient has hemodialysis on the second day and subsequently three times a week for six weeks until the new arteriovenous fistula develops. He returns for aneurysmal sac resection.

Conclusion: The purpose of this paper is the presentation and management of a 15-year ulnar-basilic arteriovenous fistula with multilocular aneurysmal development with an imminent rupture.