Successful Surgical Remodeling of a Giant Venous Aneurysm Formed in an Autogenous Arteriovenous Fistula: A Case Report

Suguru Shiraya, Yoshinobu Nakamura, Yoshikazu Fujiwara, Shingo Harada, Yuichiro Kishimoto, Takeshi Onohara, Yuki Otsuki, Motonobu Nishimura
Yonago Acta Medica 2018, 61 (2): 142-144
One complication of an autogenous arteriovenous fistula (AVF) for hemodialysis is the formation of a venous aneurysm. The treatment of a massive aneurysmal AVF generally involves ligation or resection with the use of prosthetic interposition. We present the case of a 46-year-old man in whom an AVF aneurysm was successfully treated by placating the excess free wall of the aneurysm with sutures. This method is a simple and effective intervention for managing aneurysm-associated complications. In addition, this approach helps to maintain the benefits of autogenous access while conserving future dialysis sites.

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