Sural artery injury with arteriovenous fistula: case report about a rare complication following arthroscopic medial meniscectomy

popliteal fossa. She received intra-articular injection into left knee joint through popliteal fossa for the gonarthrosis approximately 30 years ago. Arteriovenous fistula was diagnosed by duplex scan, and it was proved that the pulsatile mass was a venous aneurysm. Enhanced computed tomography and angiography showed an arteriovenous fistula arising from the left sural artery, but did not reveal the drainage vein. The surgical resection with posterior approach was chosen. An arteriovenous fistula between sural artery and vein, and a large venous aneurysm arising from sural vein at the level of the arteriovenous communication were proved during surgery. The sural venous aneurysm was resected and directly repaired. The sural artery including a fistula was dissected and its orifice was closed by patch angioplasty.

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Sural Arteriovenous Fistula after Knee Joint Puncture.

Furutani

Mituyoshi

Yoshida

et al. 2018

Yamaguchi Medical Journal

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Sural artery injury with arteriovenous fistula: case report about a rare complication following arthroscopic medial meniscectomy

Abstract: This case report presents a patient with hematoma and pain after a knee arthroscopy with partial medial meniscectomy. A lesion of the sural artery was treated by endovascular coiling. The level of evidence is IV.

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Sural Arteriovenous Fistula after Knee Joint Puncture.

Sural Arteriovenous Fistula after Knee Joint Puncture.

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