Document Detail

Delayed treatment of a traumatic left subclavian artery pseudoaneurysm.
MedLine Citation:
PMID:  18583305     Owner:  NLM     Status:  MEDLINE    
A 22-year-old man sustained 4 gunshot wounds to the upper torso resulting in left pneumothorax, an expanding right neck hematoma, left humerus fracture, a traumatic arteriovenous fistula from the right subclavian artery to the right brachiocephalic vein, and pseudoaneurysm formation from partial transection of the right subclavian artery. The patient underwent emergent repair of the confluence of the right internal jugular, subclavian and brachiocephalic veins, and laparotomy secondary to compartment syndrome. Seven weeks later, with the pseudoaneurysm enlarged to 6 cm, it was repaired with combined access via the right common femoral artery and right brachial artery. The pseudoaneurysm was covered with a 7 mm x 8 cm fluency-covered stent graft and postdilated with a 7 mm x 4 cm balloon. Postoperatively, the patient had palpable pulses, occlusion of the pseudoaneurysm, and excellent blood flow into the arm.
Randall W Franz
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-06-25
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  42     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2008 Oct-Nov
Date Detail:
Created Date:  2008-11-12     Completed Date:  2009-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  482-5     Citation Subset:  IM    
Vascular and Vein Center, Grant Medical Center, Columbus, Ohio 43325, USA.
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MeSH Terms
Aneurysm, False / etiology,  radiography,  surgery*
Balloon Dilatation
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Subclavian Artery / injuries,  radiography,  surgery*
Time Factors
Treatment Outcome
Wounds, Gunshot / complications,  radiography,  surgery*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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