Abstract
An infectious pseudoaneurysm of internal shunt in a hemodialysis patient was successfully operated on. A 28-year-old woman had been receiving hemodialysis with internal shunt in the left hand for 10 years because of chronic renal failure. Since February, 1991, the patient sometimes experienced episodes of local infection at the puncture sites. In June of this year the internal shunt rapidly enlarged to become a pseudoaneurysm with bacteremia. Emergency operation was carried out. No postoperative neuropathy nor motor paralysis developed, and the recovered. This is the first case reported in Japan that infectious pseudoaneurysm was formed at the internal shunt about 10 years after its construction.
