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Pseudoaneurysm associated with arteriovenous fistula involving a superficial breast arteriole after vacuum-assisted removal of a benign mass: A case report

RATIONALE: Pseudoaneurysm (PA) with associated arteriovenous fistula (AVF) is most often secondary to vascular catheterization, percutaneous biopsy, surgery, or trauma. PA-AVF occurs mainly in large or median arterial territories but rarely in the superficial arterioles of the breast. PATIENT CONCER...

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Detalles Bibliográficos
Autores principales: Li, Yixuan, Wu, Zhoupeng, Yan, Feng, Peng, Yulan, Ma, Lang, Zeng, Guojun, Lv, Qing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133411/
https://www.ncbi.nlm.nih.gov/pubmed/30200157
http://dx.doi.org/10.1097/MD.0000000000012250
Descripción
Sumario:RATIONALE: Pseudoaneurysm (PA) with associated arteriovenous fistula (AVF) is most often secondary to vascular catheterization, percutaneous biopsy, surgery, or trauma. PA-AVF occurs mainly in large or median arterial territories but rarely in the superficial arterioles of the breast. PATIENT CONCERNS: A 30-year-old woman underwent vacuum-assisted removal of breast fibroadenomas under ultrasonic guidance. On the follow-up visit, the patient complained of a painful enlarging lump in her left breast. DIAGNOSES: An iatrogenic breast PA-AVF was diagnosed. INTERVENTIONS: The patient was treated with surgical excision and ligation under local anesthesia. OUTCOMES: At the 1-month follow-up, the wound was found to have healed well, and breast PA-AVF was eradicated. LESSONS: Vacuum-assisted removal has been the first-line intervention for benign mass resection because of minimal invasion, but the risk of serious vascular complications remains. Careful duplex ultrasound examination prior to the procedure is highly recommended.