Abstract
IntroductionAxillary artery injury is a rare but severe complication of fractures of the surgical neck of the humerus.Case presentationWe present a case of axillary artery pseudoaneurysm secondary to such a fracture, in a 82-year-old white woman, presenting 10 weeks after the initial injury, successfully treated with subclavian to brachial reversed vein bypass together with simultaneous open reduction and internal fixation of the fracture. We discuss the use of a Javid™ shunt during combined upper limb revascularisation and open reduction and internal fixation of the fractured humerus.ConclusionThis case highlights the usefulness of a Javid™ shunt, over other forms of vascular shunts, in prompt restoration of blood flow to effect limb salvage. It can be considered as a temporary measure whilst awaiting definitive revascularisation which can be performed following fracture fixation.
Highlights
ConclusionThis case highlights the usefulness of a JavidTM shunt, over other forms of vascular shunts, in prompt restoration of blood flow to effect limb salvage
Axillary artery injury is a rare but severe complication of fractures of the surgical neck of the humerus.Case presentation: We present a case of axillary artery pseudoaneurysm secondary to such a fracture, in a 82-year-old white woman, presenting 10 weeks after the initial injury, successfully treated with subclavian to brachial reversed vein bypass together with simultaneous open reduction and internal fixation of the fracture
Despite the close proximity of the axillary artery and the surgical neck of humerus, injury to this artery is a rare complication of proximal humeral fractures
Summary
This case highlights the usefulness of a JavidTM shunt, over other forms of shunt, in prompt restoration of blood flow to effect limb salvage. It can be considered as a temporary measure whilst awaiting definitive revascularisation which can be performed following fracture fixation
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
