Abstract
A 58-year-old man who received a gunshot wound to the left thigh 40 years previously was admitted to the hospital for investigation of heart failure. At the time of the accident, he had received conservative treatment.Onphysical examination, the patient had fremitus in the left popliteal fossa. Computed tomography showed a significant increase in tortuosity and diameter of the left iliac, femoral, and popliteal arteries due to a large arteriovenous fistula (AVF) located in the popliteal fossa,which also caused increased diameters of the left iliac and femoral veins (A) and an aneurysm of the iliac vein (B; Cover). Through an S-shaped incision in the popliteal fossa, the artery and vein were exposed, separated, and the fistula was closed with 5-0 Prolene sutures. Oral anticoagulationwasmaintained after surgery, and the patient was discharged on the fourth postoperative day in good clinical condition.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
