Abstract

Aneurysms of the axillary artery have been described only rarely. This report, however, presents eight axillary artery aneurysms in seven patients secondary to chronic trauma from improperly used crutches. Acute thrombotic occlusion is the most frequent presentation, although acute and chronic distal embolization is also seen. An accurate diagnosis will ensure proper therapy and is usually not difficult if the examiner is aware of the entity. It should not be confused with axillary artery embolism. The differential is important, however, so that optimal treatment including resection and saphenous vein grafting followed by the use of ambulatory aids which no longer cause trauma to the axillary region can be employed.

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