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Is there an association between arteriovenous fistulas and axillary artery aneurysms? A report of two cases.
Abdulrahim, Omer; Khalil, Bassam Abdulhailm; Alenazi, Shahad Farhan; Alanezi, Tariq; Al-Omran, Mohammed.
Afiliación
  • Abdulrahim O; Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
  • Khalil BA; Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
  • Alenazi SF; Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
  • Alanezi T; College of Medicine, King Saud University, 11322 Riyadh, Saudi Arabia. Electronic address: alanezitariq@gmail.com.
  • Al-Omran M; Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; Division of Vascular Surgery, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Canada; Li Ka Shing Knowledge Institute, St. Michael's
Int J Surg Case Rep ; 123: 110289, 2024 Sep 14.
Article en En | MEDLINE | ID: mdl-39277907
ABSTRACT

INTRODUCTION:

Axillary artery aneurysms are rare vascular conditions that can present with various clinical manifestations, including neurological deficits and vascular compromise. While the underlying pathophysiology remains complex and multifactorial, potential associations with trauma, arteriovenous fistula formation, and atherosclerosis have been reported. PRESENTATION OF CASE Two male patients, aged 33 and 38, with a history of kidney transplantation and previous arteriovenous fistula (AVF) presented with symptoms of upper limb ischemia and neurological compromise. Imaging revealed large axillary artery aneurysms. Open surgical repair was performed for both cases. Two weeks after discharge, one patient showed good pronation and supination with mildly limited extension. The other patient's wrist drop gradually improved with physiotherapy.

DISCUSSION:

Multifactorial pathophysiology encompassed altered blood flow dynamics, inflammation, and the underlying vascular pathology. Chief complaints and prior vascular interventions contributed. Open surgical repair was preferred to endovascular approaches, achieving favorable outcomes.

CONCLUSION:

Axillary artery aneurysms in patients with a history of AVF are rare but potentially serious complications. The cases highlight the complexity of axillary artery aneurysms and the need for careful evaluation and surgical intervention This strategy is crucial to prevent potential complications and optimize patient outcomes. Further research is needed to elucidate the precise pathophysiology and the potential association between AVF and the subsequent development of axillary artery aneurysms. Increasing awareness among surgeons could enable earlier detection of aneurysms, thereby reducing the risk of complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Países Bajos