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Journal of The Korean Society of Emergency Medicine 1995;6(1): 192-199. |
| ARTERIOVENOUS FISTULA FOLLOWING CENTRAL VENOUS CANNULATION : CASE REPORT AND REVIEW OF THE LITERATURE |
| Hyung Seob Won1, Kee Chang Yang1, Ho Sung Jung1, Cheol Wan Park1, Keun Lee1, Sang Il Kim2, Jong Ho Lee3 |
1Department of Emergency Medicine, Chung Ang Gil Hospital, Inchon, Korea
2Department of Vascular Surgery, Chung Ang Gil Hospital, Inchon, Korea
3Department of Nephrology, Chung Ang Gil Hospital, Inchon, Korea |
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Published online: June 30, 1995. |
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| ABSTRACT |
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A 36-year old woman with end stage renal failure and hypertension was transferred from a university hospital to our emergency department due to a enlarging right cervical mass associated with a palpable thrill and a bruit. Over a 2 month period, she required hemodialysis for severe azotemia at a university hospital in Seoul. 3 days after a difficult attempt at a internal jugular cannulation, she developed a progressive swelling in the right lower cervical area.
An arch and primary branch arteriogram revealed a arteriovenous fistula between right in nominate artery and internal jugular vein with a large intervening pseudoaneurysm. She underwent vascular surgery within 1 week of injury and subsequent postoperative angiogram showed complete resolution of the fistula. This rare condition is reported with a review of the literature.
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| Key words:
Arteriovenous fistula, Internal jugular cannulation |
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