Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2008 , Vol 17 , Issue 2
Torasik Çıkım Yolu Travmatik Arteriyovenöz Fistülünün Geç Tedavisi
Caner ARSLAN1, Emir CANTÜRK1, Bekir KAYHAN1, Ahmet Kürşat BOZKURT2
1Kalp ve Damar Cerrahisi Kliniği, TDV 29 Mayıs Hastanesi, İstanbul
2Kalp ve Damar Cerrahisi AD, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, İstanbul
Traumatic arteriovenous fistulas are most frequently occur in cervical and supraclavicular region. Vascular pathology can not be diagnosed in the first examination. The limitations of diagnostic methods by the structures in this region and difficulties in cooperation with these patients partially play a role in this retard in diagnosis. This may last years. Depending upon this retard, complications increase with developing fibrosis, increase in venous pressure and venous collateral and so the treatment becomes more difficult. Fistula between right subclavian artery and internal jugular vein was detected in a 38 year-old man admitted in our hospital with massive venous dilatation and strong thrill in the right neck region, 3 years after penetrating injury. Multislice computed tomographic angiography was used successfully in diagnosis. Partial median sternotomy was made as to prevent complications caused by extensive venous collateral and for the safe vascular control in operation. Arterial and venous repairment was made without any problem. Keywords : Traumatic arteriovenous fistula, late repair
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