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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2012, Number 1

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Rev Mex Angiol 2012; 40 (1)

Pseudoaneurisma postraumático de la unión subclavio-axilar

Sierra-Juárez MÁ, Córdova-Quintal PM, Borrego-Borrego R, Tinoco LA

Language: Spanish
References: 12
Page: 33-36
PDF size: 295.73 Kb.


ABSTRACT

A partial disruption of the artery with extravasation of blood into surrounding tissues is the mechanism responsible for the development of a pseudoaneurysm, the hematoma is located persistent communication with the native artery. The clinical presentation includes a history of vascular trauma, coupled with clinical signs and the presence of a pulsatile mass, pain, a machinery murmur, depending on the location may present clinical signs of compression. We present a case report of male patient who is sent to the Emergency Department with a history of firearm injury at the level of back of left hemithorax 2 months ago. On admission the patient presented increased volume in the anterior chest, neck, shoulder, arm and hand. Vascular examination is performed in the region we will find subclavian- axillary 1 x 2 cm pseudoaneurysm with dissecting hematoma between the pectoralis major and minor, it was decided to perform bypass with PTFE 6 cm, 10 cm in length.


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