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

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.