DOI: 10.36347/sjmcr.2015.v03i09.001

Pages: 801-805

Arteriovenous fistula is a direct communication between artery and vein, without transition to the capillaries. AVF is acute or could be chronic and diagnosis delayed years after the traumatism. Clinical findings are often enough to determine diagnosis, with pulsatile mass, systole-diastolic machinery murmur and trill. The etiologies are penetrating injury, but the cause is often iatrogenic. In this series, two cases are due to stab vascular wound, two others are iatrogenic, and the last was a gunshot wound. Surgical care associated arterial repair, venous repair and closure of the abnormal communication. The arterial direct repair, the vein graft or prosthetic placement are indicated for AVF of the major vessels. The arterial ligation is strictly reserved to collateral or secondary arteries. Surgery is still a good and safe option for the care of chronic arteriovenous fistula, with good outcomes.