Radial Artery Aneurysm Arising from the Stump of a Ligated Arteriovenous Fistula in a Kidney Transplant Patient
Amenah Dhannoon,
Fiachra Sheil,
Seamus McHugh,
J. Barry O'Sullivan
Affiliations
Amenah Dhannoon
Royal College of Surgeons in Ireland, Dublin; Department of Reconstructive and Plastic Surgery, Beaumont University Hospital, Dublin; Correspondence: Ms Amenah Dhannoon, Royal College of Surgeons in Ireland, Republic of Ireland.
Fiachra Sheil
Royal College of Surgeons in Ireland, Dublin; Department of Reconstructive and Plastic Surgery, Beaumont University Hospital, Dublin
Seamus McHugh
Royal College of Surgeons in Ireland, Dublin; Department of Vascular Surgery, Beaumont University Hospital, Dublin
J. Barry O'Sullivan
Royal College of Surgeons in Ireland, Dublin; Department of Reconstructive and Plastic Surgery, Beaumont University Hospital, Dublin
While aneurysm and pseudoaneurysm are common complications to arteriovenous (AV) fistula, the development of aneurysm from the stump of a ligated AV fistula is unusual. The involvement of radial artery after AV fistula ligation is an extremely rare entity with only two cases reported in the literature. In this report, we describe a 40-year-old kidney transplant patient who presented with a radial artery aneurysm after radiocephalic fistula ligation which was managed by the plastic surgery team using autologous vein graft reconstruction, and we compare our case to the two cases described in the literature in the presentations, timelines, and management options.
