case_images: PMC11177082_01
case_images: Case 4. (A) Preoperative. (B) Longitudinal and elliptical incisions. (C-E) Dissection of the aneurysmal vein from the vessel bed. (F) After removal of thrombi and fibrotic tissue from the vein. (G) After removal of the redundant vessel wall. (H) Aneurysmorrhaphy with calibration to a 28 Fr chest tube. (I) After removal of clamps and establishment of haemostasis. (J) Simple interrupted suture of the skin (patient's tattoos have been slightly blurred in images to protect their privacy).
case_images: gr1.jpg
case_images: PMC11177082_04_gr1.jpg
case_images: fig1
case_images: After removal of the thrombi and the previously placed stent entrapped in atheromatous plaques, the venous wall was recalibrated and the reconstructed vein was shortened to lie appropriately in the vessel bed (Fig. 1).
case_images: PMC11177082_02
case_images: Case 5. (A) Preoperative. (B) Dissection of the aneurysmal vein. (C) Aneurysmorrhaphy with calibration to a 28 Fr chest tube. (D) Simple interrupted suture of the skin. (E) Two weeks post-operative.
case_images: gr2.jpg
case_images: PMC11177082_05_gr2.jpg
case_images: fig2
case_images: AVF placement five years ago, and presented to the clinic with a severely tortuous aneurysm of the cephalic vein, which had resulted in multiple bleedings from wounds on the stretched skin. After aneurysmorrhaphy of the cephalic vein, part of the vessel was resected and re-anastomosed to achieve a desirable venous length (Fig. 2).
case_images: PMC11177082_03
case_images: PMC11177082_04
case_images: Case 4. (A) Preoperative. (B) Longitudinal and elliptical incisions. (C-E) Dissection of the aneurysmal vein from the vessel bed. (F) After removal of thrombi and fibrotic tissue from the vein. (G) After removal of the redundant vessel wall. (H) Aneurysmorrhaphy with calibration to a 28 Fr chest tube. (I) After removal of clamps and establishment of haemostasis. (J) Simple interrupted suture of the skin (patient's tattoos have been slightly blurred in images to protect their privacy).
case_images: gr1.jpg
case_images: PMC11177082_04_gr1.jpg
case_images: fig1
case_images: After removal of the thrombi and the previously placed stent entrapped in atheromatous plaques, the venous wall was recalibrated and the reconstructed vein was shortened to lie appropriately in the vessel bed (Fig. 1).
case_images: PMC11177082_05
case_images: Case 5. (A) Preoperative. (B) Dissection of the aneurysmal vein. (C) Aneurysmorrhaphy with calibration to a 28 Fr chest tube. (D) Simple interrupted suture of the skin. (E) Two weeks post-operative.
case_images: gr2.jpg
case_images: PMC11177082_05_gr2.jpg
case_images: fig2
case_images: AVF placement five years ago, and presented to the clinic with a severely tortuous aneurysm of the cephalic vein, which had resulted in multiple bleedings from wounds on the stretched skin. After aneurysmorrhaphy of the cephalic vein, part of the vessel was resected and re-anastomosed to achieve a desirable venous length (Fig. 2).
case_images: PMC11177082_06