What question did this study set out to answer?

To describe the presentation, systemic adaptations, and surgical management of a chronic traumatic popliteal arteriovenous fistula presenting twenty years after a penetrating shotgun injury.

August 19, 2026Journal of Medical Case ReportsOpen Access

Chronic traumatic popliteal arteriovenous fistula presenting twenty years after shotgun injury: a case report and critical literature review

View Full Paper

Ask AI

Bookmark

Authors

RCRoozbeh Cheraghali SMSiamak Mousazadeh ABAfshin Bighamian

Discussion

Member takes

Overview

Case report and literature review reveals delayed vascular remodeling and cardiac adaptation in a patient decades after penetrating trauma, highlighting the need for individualized surgical repair.

Key Points

To describe the presentation, systemic adaptations, and surgical management of a chronic traumatic popliteal arteriovenous fistula presenting twenty years after a penetrating shotgun injury.
Evaluated a 64-year-old male presenting with progressive popliteal pain and a pulsatile mass 20 years after conservative management of a shotgun wound using physical examination and CT angiography (N=1).
Performed open surgical repair via fistula ligation and aneurysmorrhaphy, followed by a literature review to develop a five-step clinical management algorithm.
CT angiography revealed a direct popliteal arteriovenous connection, a 25 mm secondary venous aneurysm, 16 mm proximal arterial dilation, and cardiomegaly with a 44 mm ascending aorta reflecting chronic high-output circulatory adaptation.
Open surgical ligation and aneurysmorrhaphy successfully eliminated the arteriovenous shunt and resolved the secondary aneurysmal mass without limb loss.

Cite This Study

Cheraghali et al. (2026) studied this question.

synapsesocial.com/papers/6a85632803308d306e2d62ba https://doi.org/10.1186/s13256-026-06517-7

View Full Paper

Ask AI

Bookmark

August 19, 2026Journal of Medical Case ReportsOpen Access

Chronic traumatic popliteal arteriovenous fistula presenting twenty years after shotgun injury: a case report and critical literature review

View Full Paper

Ask AI

Bookmark

Authors

RCRoozbeh Cheraghali SMSiamak Mousazadeh ABAfshin Bighamian

Discussion

Member takes

Overview

Case report and literature review reveals delayed vascular remodeling and cardiac adaptation in a patient decades after penetrating trauma, highlighting the need for individualized surgical repair.

Key Points

To describe the presentation, systemic adaptations, and surgical management of a chronic traumatic popliteal arteriovenous fistula presenting twenty years after a penetrating shotgun injury.
Evaluated a 64-year-old male presenting with progressive popliteal pain and a pulsatile mass 20 years after conservative management of a shotgun wound using physical examination and CT angiography (N=1).
Performed open surgical repair via fistula ligation and aneurysmorrhaphy, followed by a literature review to develop a five-step clinical management algorithm.
CT angiography revealed a direct popliteal arteriovenous connection, a 25 mm secondary venous aneurysm, 16 mm proximal arterial dilation, and cardiomegaly with a 44 mm ascending aorta reflecting chronic high-output circulatory adaptation.
Open surgical ligation and aneurysmorrhaphy successfully eliminated the arteriovenous shunt and resolved the secondary aneurysmal mass without limb loss.

Cite This Study

Cheraghali et al. (2026) studied this question.

synapsesocial.com/papers/6a85632803308d306e2d62ba https://doi.org/10.1186/s13256-026-06517-7

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

View Full Paper

Ask AI

Bookmark