• A&A practice · Dec 2023

    Case Reports

    Intraoperative Diagnosis of Bilateral Upper Limb Arteriovenous Fistulae in a Child: A Case Report.

    • Bhakti Trivedi, Shreyas A Chawathey, Amit N Pinjari, and Ketan K Kataria.
    • From the Division of Clinical Anaesthesia, Department of Anaesthesiology Critical Care and Pain, Advanced Centre for Training, Research and Education in Cancer (ACTREC), Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
    • A A Pract. 2023 Dec 1; 17 (12): e01738e01738.

    AbstractArteriovenous fistulae have not been extensively reported in pediatric patients and are rare for pediatric anesthesiologists to encounter in their routine practice. Awareness of these lesions enables clinicians to avoid giving medications through the anomalous vascular connections. We report a child scheduled for an excision of a sacrococcygeal mass in whom we incidentally diagnosed the presence of arteriovenous fistulae in both his upper limbs. The affected limbs should be avoided and the vessels of the lower limbs should be cannulated for administration of fluid and medications during surgery.Copyright © 2023 International Anesthesia Research Society.

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