Abstract
Axillary artery injury is a rare complication of blunt upper extremity trauma and is reported in the literature on only a few cases. The usual treatment is an open operation with the exclusion of the aneurysm and interposition grafting. Vascular injury in the elderly population after trauma is especially “dangerous” owing to a large cohort of these patients being on anticoagulation. For this reason, any hematoma after blunt trauma must be fully “evaluated” and a careful vascular exam must be undertaken. When the vascular injury is acute as a result of trauma, the typical interventions include an open repair either with an interposition graft or reverse saphenous vein graft. We report a case of a delayed traumatic axillary artery dissection with resultant pseudoaneurysm treated with endovascular stent-grafting.
Highlights
A Challenging Surgical Case of Axillary Artery Pseudoaneurysm Weeks after Blunt Trauma
Axillary artery injury is a rare complication of blunt upper extremity trauma and is reported in the literature on only a few cases
We immediately ordered a physiologic ultrasound of his upper extremities which revealed satisfactory waveforms but a borderline pressure drop between the left upper arm and forearm. He had a computed tomography angiogram (CTA) that revealed a 4.1 x 3.3 cm pseudoaneurysm arising from the left axillary artery with an associated axillary hematoma measuring 8 x 8 x 10 cm
Summary
A Challenging Surgical Case of Axillary Artery Pseudoaneurysm Weeks after Blunt Trauma Axillary artery injury is a rare complication of blunt upper extremity trauma and is reported in the literature on only a few cases. When the vascular injury is acute as a result of trauma, the typical interventions include an open repair either with an interposition graft or reverse saphenous vein graft.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.