Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8653296 | Annals of Vascular Surgery | 2018 | 11 Pages |
Abstract
Pseudoaneurysm due to a swallowed fishbone rarely involves subclavian arteries. A 46-year-old male with nonaberrant right subclavian artery (RSA) presented pseudoaneurysm and brachial plexus septic necrosis. Open surgery with sternotomy and right transverse supraclavicular cervicotomy was done in emergency to achieve revascularization using in situ cryopreserved arterial allograft. Infection severity led to septic allograft rupture that necessitated ligation without new arterial reconstruction. During follow-up, patient remained alive 8Â months after surgery. Neurological deficit slowly regressed, and no upper arm ischemic sign appeared.
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Authors
Philippe Tresson, Fabrizia Ballabio, Gilles Manceau, Nicolas Adam, James Lawton, Jean-Michel Davaine, Fabien Koskas,