Traumatic Superficial Femoral Arteriovenous Fistula with Pulsatile Mass and Leg Pain 60 Years after Stabbing Injury

Kazuki Takahashi; Shinsuke Kikuchi; Ai Tochikubo-Suzuki; Yuri Yoshida; Daiki Uchida; Atsuhiro Koya; Kazuya Kato; Nobuyoshi Azuma

doi:10.3400/avd.cr.22-00033

Traumatic Superficial Femoral Arteriovenous Fistula with Pulsatile Mass and Leg Pain 60 Years after Stabbing Injury

Ann Vasc Dis. 2022 Jun 25;15(2):150-153. doi: 10.3400/avd.cr.22-00033.

Authors

Kazuki Takahashi¹, Shinsuke Kikuchi¹, Ai Tochikubo-Suzuki^{1

2}, Yuri Yoshida¹, Daiki Uchida¹, Atsuhiro Koya¹, Kazuya Kato², Nobuyoshi Azuma¹

Affiliations

¹ Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
² Department of Surgery, Pippu Clinic, Pippu town, Kamikawa-gun, Hokkaido, Japan.

Abstract

Post-traumatic arteriovenous fistula (AVF) is a vascular injury complication and can present with vessel dilation, forming pulsatile varices, venous hypertension, distal ischemia, and congestive heart failure. We present a case of only pulsatile mass and leg pain caused by a 60-year-old post-traumatic AVF. Computed tomography angiography showed an AVF between the superficial femoral artery and superficial femoral vein. Surgical repair with AVF ligation was successfully performed. Traumatic AVF caused vascular and heart failure in the future; therefore, post-traumatic AVF is better eliminated as soon as possible.

Keywords: arteriovenous fistula; heart failure; vascular trauma.