Resumen

MAHMUD, Rafic; LEVEL, Luis  y  MARRERO, Ericka. BRACHIAL ARTERY ANEURYSM ASSOCIATED WITH ARTERIOVENOUS FISTULA IN A KIDNEY TRANSPLANT PATIENT. CASE REPORT. RevVenezCir [online]. 2019, vol.72, n.1, pp.32-35.  Epub 30-Ene-2025. ISSN 0378-6420.

Brachial artery aneurysms (BAA) in patients with renal chronic disease (RCD) and arteriovenous fistulas (AVF) are an infrequent entity. When they are presented, they merit resection and placement of autologous or heterologous graft. We present the case of a 57-year-old patient with history of chronic renal disease treated with hemodialysis by left brachial arteriovenous fistula (AVF), presenting pulsatile mass proximal to AVF which measures 7 x 5 cm, with evolution of nine months. Diagnosis of BAA was achieved by arterial doppler ultrasound. Aneurism removal and anastomosis with polytetrafluoroethylene (PTFE) graft was carried out. Patient evolution was uneventful. BAA in patients with RCD are infrequent and should be suspected when a pulsatile mass appears proximal to AVF. Surgical removal is indicated in lessons > 3 cm or patients with compressive symptoms.

Palabras clave : Brachial artery aneurysm; Arteriovenous fistula; Complications; Uremic surgery; Case report.

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