頻回の動静脈穿刺が原因と考えられた乳児右大腿動静脈瘻の1手術例

概要

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A case of a 11-month-old girl who recognized an arteriovenous fistula in the right inguinal region was reported. She was born at 28th weeks of gestation weighing 700 gm and treated in NICU. During this period, there were many times of blood sumpling from femral artery and vein for blood gas analysis and chemistries. Swelling of the right lower extremity and continuous vascular murmur were noticed around the right inguinal region at 7 months of age. Angiosgraphy revieled enlarged right external pudendal artery, right femoral arteriovenous fistula and enlarged right femoral vein. Resection of arteriovenous fistula was performed. Postoperative course was uneventful and she discharged 15th postoperative day. This case showed the possibility that the repeated femoral arterial and venous puncture for blood samplling may induce iatrogenic arteriovenous fistula.
日本小児外科学会の論文
1988-10-20