Cardiovascular Surgery and Interventions
2017, Vol 4, Num 3 Page(s): 043-044
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An iatrogenic brachial arteriovenous fistula in an infant: A case report
Engin Karakuş1, Soysal Turhan2, Onur Işık3
1Department of Cardiovascular Surgery, Batman Regional State Hospital, Batman, Turkey
2Department of Cardiovascular Surgery, Tepecik Training and Research Hospital, İzmir, Turkey
3Department of Cardiovascular Surgery, Division of Pediatric Cardiology, Tepecik Training and Research Hospital, İzmir, Turkey
Keywords: Arteriovenous fistula; premature; surgery
Acquired arteriovenous fistulas, which are caused by arterial or venous puncture, are common in patients with a history of hospitalization in the intensive care unit for a long time. A four-month-old girl, who was born at 25 weeks and treated in the neonatal intensive care unit for one month due to respiratory distress, was admitted to our clinic with complaints of swelling and bruising on the right arm. Doppler ultrasound revealed an arteriovenous fistula located between the basilic vein and brachial artery, which was surgically treated. Unlike adults, fistulas during infancy may lead to a variety of morbidity, including heart failure, if left untreated. Herein, we report a rare pediatric case of an arteriovenous fistula and discuss our clinical approach.
Engin Karakuş1, Soysal Turhan2, Onur Işık3
1Department of Cardiovascular Surgery, Batman Regional State Hospital, Batman, Turkey
2Department of Cardiovascular Surgery, Tepecik Training and Research Hospital, İzmir, Turkey
3Department of Cardiovascular Surgery, Division of Pediatric Cardiology, Tepecik Training and Research Hospital, İzmir, Turkey
Keywords: Arteriovenous fistula; premature; surgery
Acquired arteriovenous fistulas, which are caused by arterial or venous puncture, are common in patients with a history of hospitalization in the intensive care unit for a long time. A four-month-old girl, who was born at 25 weeks and treated in the neonatal intensive care unit for one month due to respiratory distress, was admitted to our clinic with complaints of swelling and bruising on the right arm. Doppler ultrasound revealed an arteriovenous fistula located between the basilic vein and brachial artery, which was surgically treated. Unlike adults, fistulas during infancy may lead to a variety of morbidity, including heart failure, if left untreated. Herein, we report a rare pediatric case of an arteriovenous fistula and discuss our clinical approach.
DOI : 10.5606/e-cvsi.2017.633
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