Blood transfusion is sometimes a necessary procedure during or following coronary artery bypass graft (CABG) surgery. However, transfusion-related acute lung injury (TRALI)/possible TRALI is a rare and fatal complication and characterized by acute hypoxemia and non-cardiogenic pulmonary edema that occurs within 6 hours following a transfusion. Anti-leukocyte antibodies or, possibly, other bioactive substances cause inflammation and capillary endothelial destruction in susceptible recipients' lungs. Prompt diagnosis and mechanical ventilatory support are important. A successful treatment of two male patients following CABG surgery, compatible with TRALI/possible TRALI, is presented here.
Backround: Peripheral arteriovenous malformations are rare clinical situations and the clinical spectrum varies from asymptomatic birth spot to life-threatining congestive heart failure. Also, venous compression and insufficiency result in stasis, dermatitis and ulcer development. Leg ulceration as a complication of arteriovenous malformation has been reported after tibial arteriovenous malformation causing venous congestion or femoral arteriovenous malformation resulting in a steal syndrome. Symptomatic and progressive growing arteriovenous malformations should be treated.Case Report: In this study we present a successful surgical and medical treatment of a fifty-four year old female patient with chronic leg ulcer due to newly diagnosed arteriovenous malformation.
Conclusion:One of the important causes of chronic leg ulcer is delayed diagnoses like arteriovenous malformation so correct diagnoses and adequate treatment including surgery is important in patients with chronic leg ulcer due to arteriovenous malformation.Keywords: Arteriovenous malformation, leg ulcer, surgery.
AbstractIsik M., Günerhan Y., Ege E. Chronic Leg Ulcer Due to Arteriovenous Malformation: A Case
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