Unilateral Hemothorax Due to a Giant Arteriovenous Fistula
Author Information
Author(s): Salim Shihas, Ganeshram Prasanthi, Patel Amish Dilip, Kumar Anita A, Vemuri Divya, Jeyachandran Vijay, Rajamanickam Deepan, Shantha Ghanshyam Palamaner Subash
Primary Institution: Sri Ramachandra University, Chennai, India
Hypothesis
Can a giant arteriovenous fistula cause unilateral hemothorax in a hemodialysis patient?
Conclusion
Ligation of the giant arteriovenous fistula resulted in complete resolution of the hemothorax.
Supporting Evidence
- The patient had a giant AV fistula and presented with progressive breathlessness.
- Radiological imaging revealed a left-sided pleural effusion.
- Ultrasound guided aspiration revealed hemorrhagic pleural fluid.
- Doppler study showed high velocity blood flow through the fistula.
- Ligation of the fistula resulted in complete resolution of the hemothorax.
- Follow-up showed no recurrence of pleural effusion after 6 weeks.
Takeaway
A patient with a large blood vessel for dialysis developed bleeding in his chest, but after doctors fixed the blood vessel, he got better.
Methodology
The case involved a patient with a giant AV fistula who underwent imaging and aspiration to diagnose and treat a hemothorax.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
46-year-old male, end-stage renal disease patient, non-smoker, non-alcoholic, married with two sons.
Digital Object Identifier (DOI)
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