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Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula  Peter J. Kuhlencordt, MD, Ulrich Linsenmeyer, MD,

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Presentation on theme: "Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula  Peter J. Kuhlencordt, MD, Ulrich Linsenmeyer, MD,"— Presentation transcript:

1 Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula 
Peter J. Kuhlencordt, MD, Ulrich Linsenmeyer, MD, Antje Rademacher, MD, Mojtaba Sadeghi-Azandaryani, MD, Bernd Steckmeier, MD, Ulrich Hoffmann, MD  Journal of Vascular Surgery  Volume 47, Issue 1, Pages (January 2008) DOI: /j.jvs Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Left, Color-coded duplex ultrasound image shows a large arteriovenous fistula between the superficial femoral artery and the femoral vein located at the left distal upper thigh. Right, B-mode ultrasound image reveals a bulging aneurysm (11.8 × 9.8 × 9.3 cm) of the external iliac vein with thrombus formation on the ventral and dorsal vascular wall. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Left, A frontal plane computed tomography scan of the pelvis and the upper thighs reveals the large aneurysm of the left external iliac vein. The left external iliac vein and external iliac artery are dilated in comparison to the contralateral side. Right, The aneurysm is shown on a transversal view of the pelvis. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 A transversal view computed tomography scan of the pelvis cranial to the external iliac aneurysm shows compression of the left common iliac vein (arrow) by the overlying left common iliac artery (1). Note the smaller size of the right-sided common iliac artery (2). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Intraoperative situs. A, Exposed external iliac vein aneurysm. Note the tortuous and dilated common iliac artery proximal to the aneurysm. B, Opened external iliac aneurysm. C, Interposition polytetrafluoroethylene graft, re-establishing venous continuity. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

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