Catheter insertion and forearm arteriovenous shunts are the main reasons for pseudoaneurysms in the practice of cardiovascular surgery. Radial artery pseudoaneurysm from arterial wall disruption is an extremely rare complication of arterial approach. Herein, we report a case of radial pseudoaneurysm repair leading to steal phenomenon and ischemic pain which occurred following the closure of the arteriovenous fistula located between the radial artery and cephalic vein in the medial aspect of the right forearm in a 37-year-old male receiving regular hemodialysis for chronic renal failure.