Page 17 - Virtual Vascular Vol 3

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Reduction aneurysmorrhaphy Postop Day 7

The inflow and outflow of aneurysm was clamped and was then open longitudinally.
The infected anterior wall was excised. All intraluminal thrombus was evacuated. Aneurysm developed in an AV fistula
Since the AV fistula is the life-line of the patient and preservation of the
haemodialysis vascular access is very important. We decided to performed reduction created for haemodialysis

aneurysmorrhaphy, excision part of the aneurysmal wall and closed the aneurysm by
4/0 Prolene suture. The circuit of the AV fistula is maintained. Together with IV
antibiotics, the infection is well control, and the AV fistula is ready to be needled • Formed due to repeated puncture during HD that

again on post-op Day 7. The left femoral catheter can be removed once smooth weakens the vein wall
dialysis is achieved via the AV fistula.
• Differential diagnosis of aneurysm formation due to

outflow venous obstruction
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