A patient developed Staphylococcus aureus endarteritis complicating a hemodialysis arteriovenous fistula. The principle of quadripolar ligation and excision was successfully applied. Early recognition and surgical treatment of this complication can prevent the development of bacterial endocarditis.
Silverman NA, Gunnells JC, Stickle DL. Surgical Treatment of Staphylococcus aureus EndarteritisIn a Hemodialysis Arteriovenous Fistula. Arch Surg. 1974;108(5):730-732. doi:10.1001/archsurg.1974.01350290092016