PMID- 21782484
OWN - NLM
STAT- MEDLINE
DCOM- 20111229
LR  - 20111017
IS  - 1532-2165 (Electronic)
IS  - 1078-5884 (Linking)
VI  - 42
IP  - 5
DP  - 2011 Nov
TI  - Lower limb arterio-venous fistula as a late complication of phlebectomy in a 
      patient with Ehlers-Danlos type IV.
PG  - 696-8
LID - 10.1016/j.ejvs.2011.06.044 [doi]
AB  - Ehlers-Danlos syndrome type IV (EDS type IV), the vascular type, results from 
      mutations in the gene for type III procollagen (COL3A1). Affected patients are at 
      risk for arterial, bowel, and uterine rupture. The timing, frequency and course 
      of these events are unpredictable. We report a 50-year-old patient with previous 
      complications of EDS type IV who presented with recurrent varicose veins that 
      subsequent imaging identified as an arteriovenous fistula (AVF) at the site of 
      previous phlebectomy. Patients with EDS type IV present vascular surgeons 
      manifold management problems. A pre-existing diagnosis of EDS type IV should 
      alert the clinician to the risk of unusual presentations, both acutely and as 
      complications subsequent to intervention. Once identified, appropriate 
      investigation and follow-up of these patients by a vascular surgeon is mandated.
CI  - Crown Copyright (c) 2011. Published by Elsevier Ltd. All rights reserved.
FAU - Brightwell, R E
AU  - Brightwell RE
AD  - Department of Biosurgery, Imperial College London, St Mary's Hospital Campus, 
      Paddington, London, UK. r.brightwell04@imperial.ac.uk
FAU - Walker, P J
AU  - Walker PJ
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20110722
PL  - England
TA  - Eur J Vasc Endovasc Surg
JT  - European journal of vascular and endovascular surgery : the official journal of 
      the European Society for Vascular Surgery
JID - 9512728
SB  - IM
MH  - Arteriovenous Fistula/*etiology
MH  - Ehlers-Danlos Syndrome/*complications/*surgery
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - *Postoperative Complications
MH  - Varicose Veins/complications/*surgery
EDAT- 2011/07/26 06:00
MHDA- 2011/12/30 06:00
CRDT- 2011/07/26 06:00
PHST- 2010/11/15 00:00 [received]
PHST- 2011/06/20 00:00 [accepted]
PHST- 2011/07/26 06:00 [entrez]
PHST- 2011/07/26 06:00 [pubmed]
PHST- 2011/12/30 06:00 [medline]
AID - S1078-5884(11)00416-3 [pii]
AID - 10.1016/j.ejvs.2011.06.044 [doi]
PST - ppublish
SO  - Eur J Vasc Endovasc Surg. 2011 Nov;42(5):696-8. doi: 10.1016/j.ejvs.2011.06.044. 
      Epub 2011 Jul 22.