A Case of Femoral Arteriovenous Fistula Due to Stab Wound: Consecutive Failure to Close With Stent Graft and The Final Surgery

Bayer Çınar, Onur Göksel, *Sinan Şahin, Veysel Şahin, Hakkı Aydoğan, Uğur Filizcan, Şebnem Çetemen, Ergin Eren

Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahisi Kliniği, İstanbul
*Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, İstanbul

Clinicians may experience greater difficulties in diagnosis and management of traumatic arteriovenous fistulae than usually anticipated. Such lesions may manifest as leg oedema, pain, varicose veins and even congestive heart failure, if not asymptomatic. Delay in diagnosis or management may end up with dramatic results such as amputation. In this case presentation, we would like to present a 23-year-old man with a history of stab wound from right lateral thigh. He had persistent symptoms in spite of two consecutive stenting until March, 2003. In the light of present medical literature and our experience, we believe that stent-closure of femoral arteriovenous fistulae requires further experience and strong cooperation between vascular surgeons and radiologists.

Keywords : Arteriovenous fistula, vascular trauma, stent-graft

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