The Turkish Journal of Vascular Surgery

Yazarlar: Caner ARSLAN, Emir CANTÜRK, Bekir KAYHAN, Ahmet Kürşat BOZKURT

Konular:-

Anahtar Kelimeler:Traumatic arteriovenous fistula,Late repair

Özet: Traumatic arteriovenous fistulas are most frequently occur in cervical and supraclavicular region. Vascular pathology can not be diagnosed in the first examination. The limitations of diagnostic methods by the structures in this region and difficulties in cooperation with these patients partially play a role in this retard in diagnosis. This may last years. Depending upon this retard, complications increase with developing fibrosis, increase in venous pressure and venous collateral and so the treatment becomes more difficult. Fistula between right subclavian artery and internal jugular vein was detected in a 38 year-old man admitted in our hospital with massive venous dilatation and strong thrill in the right neck region, 3 years after penetrating injury. Multislice computed tomographic angiography was used successfully in diagnosis. Partial median sternotomy was made as to prevent complications caused by extensive venous collateral and for the safe vascular control in operation. Arterial and venous repairment was made without any problem.

---