A Challenging Surgical Case of Axillary Artery Pseudoaneurysm Weeks after Blunt Trauma

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Author Info

Anthony Feghali Babak Abai Brandon Nussenblatt Dawn Salvatore Paul DiMuzio

Corresponding Author

Anthony Feghali
SUNY Upstate Medical University, Department of Vascular Surgery, Syracuse, 13210 NY

A B S T R A C T

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.

Article Info

Article Type

Case Report

Publication history

Received: Mon 27, Apr 2020
Accepted: Mon 11, May 2020
Published: Tue 19, May 2020

Copyright

© 2023 Anthony Feghali. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSCR.2020.02.10