Secondary arteriovenous malformation due to subclavian vein occlusion |
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Authors: | Yukari Nakajima Noriko Aramaki Kazuo Kishi Masashi Tamura Seishi Nakatsuka Masahiro Jinzaki Masanori Inoue |
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Affiliation: | aDepartment of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan;bDepartment of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan |
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Abstract: | An 80-year-old man underwent rectal resection and insertion of a central venous catheter through the left subclavian vein 16 years earlier. Following surgery, he developed edema of his left upper limb that became exacerbated and infected. Computed tomography showed occlusion of the subclavian vein and multiple arteriovenous shunts from the branches of the axillary artery to the venous sac of the axillary vein. Angiography confirmed numerous shunts between the branches of the axillary artery and vein and dilated collateral veins. Embolization of the venous sac was performed using coils, alcohol, and glue. Postprocedural angiography showed complete eradication of the nidus. |
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Keywords: | Elephantiasis NBCA Embolization Arteriovenous malformation Extremities |
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