Congenital arteriovenous fistula with aneurysm formation of ulnar artery origin

Ming Chi Yung, Hsiu Chen Lai, Chia Wei Ming, Jih Shiuan Wang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Naturally formed arteriovenous fistula (AVF) causing local vascular aneurysm dilatation in the forearm ulnar artery region is rare and is exceedingly uncommon in any age group. Presented is a case of AVF in the left ulnar artery of a 39-year-old man in whom there was no history of trauma; the deformity had been noted since childhood. The AVF had become tortuous and enlarged in size as the patient aged. As a result, aneurysm dilatation formed on the base of the AVF and that of the ulnar artery origin. Despite normal preoperative Allen test result and normal preoperative finger pressure measurement with ulnar artery occlusion, arterial duplex imaging showed that the radial artery was the dominant artery of the left arm; the AVF was resected and the base of the aneurismal dilatation, which was directly related to the ulnar artery, was repaired for the sake of the natural continuity of ulnar blood flow.

Original languageEnglish
Pages (from-to)651-654
Number of pages4
JournalJournal of the Chinese Medical Association
Volume71
Issue number12
DOIs
Publication statusPublished - Dec 2008
Externally publishedYes

Fingerprint

Ulnar Artery
Arteriovenous Fistula
Aneurysm
Dilatation
Radial Artery
Forearm
Fingers
Blood Vessels
Arm
Arteries
Age Groups
Pressure
Wounds and Injuries

Keywords

  • Aneurysm
  • Arteriovenous fistula
  • Ulnar artery

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Congenital arteriovenous fistula with aneurysm formation of ulnar artery origin. / Yung, Ming Chi; Lai, Hsiu Chen; Ming, Chia Wei; Wang, Jih Shiuan.

In: Journal of the Chinese Medical Association, Vol. 71, No. 12, 12.2008, p. 651-654.

Research output: Contribution to journalArticle

Yung, Ming Chi ; Lai, Hsiu Chen ; Ming, Chia Wei ; Wang, Jih Shiuan. / Congenital arteriovenous fistula with aneurysm formation of ulnar artery origin. In: Journal of the Chinese Medical Association. 2008 ; Vol. 71, No. 12. pp. 651-654.
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AB - Naturally formed arteriovenous fistula (AVF) causing local vascular aneurysm dilatation in the forearm ulnar artery region is rare and is exceedingly uncommon in any age group. Presented is a case of AVF in the left ulnar artery of a 39-year-old man in whom there was no history of trauma; the deformity had been noted since childhood. The AVF had become tortuous and enlarged in size as the patient aged. As a result, aneurysm dilatation formed on the base of the AVF and that of the ulnar artery origin. Despite normal preoperative Allen test result and normal preoperative finger pressure measurement with ulnar artery occlusion, arterial duplex imaging showed that the radial artery was the dominant artery of the left arm; the AVF was resected and the base of the aneurismal dilatation, which was directly related to the ulnar artery, was repaired for the sake of the natural continuity of ulnar blood flow.

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