Posttraumatic Axillary False Aneurysm after Luxatio Erecta of the Shoulder: Case Report and Literature Review
| Autor: | Kevin Bargoin, J.-B. Marchand, Philippe Poirier, Yann Gouëffic, Maxime Iakovlev |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Coracoid Aneurysm Hematoma Humans Medicine cardiovascular diseases Stage (cooking) Aged business.industry Shoulder Dislocation Standard treatment Endovascular Procedures Angiography General Medicine medicine.disease Thrombosis Surgery medicine.anatomical_structure Luxatio erecta Axillary Artery Upper limb Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Aneurysm False |
| Zdroj: | Annals of Vascular Surgery. 28:1321.e13-1321.e18 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2014.01.006 |
| Popis: | Vascular complications after dislocation of the shoulder are rare. We report a case of glenohumeral inferior dislocation (luxatio erecta) responsible for an acute ischemia of the upper limb. Endovascular treatment with a covered stent associated with the evacuation of the compressive hematoma was privileged. In the second stage, an axillary bypass was carried out because of an intrastent thrombosis responsible for an acute ischemia of the right upper limb. The stabilization of the glenohumeral articulation was obtained later with an anterior coracoid bone block. The conventional surgical treatment remains the standard treatment. Hybrid techniques with endovascular clamping can be useful in the presence of proximal arterial lesions. Endovascular treatment is an interesting therapeutic alternative in the urgency and in selected cases but its mid- and long-term results should still be evaluated. |
| Databáze: | OpenAIRE |
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