Axillary Artery Injury and By-Pass Restoration After Open Reduction of a Chronic Shoulder Dislocation: A Case Report

Injury of the axillary artery after open reduction of a chronic shoulder dislocation is a rare and life-threatening condition. We present a case of an elderly woman suffering from a chronic shoulder dislocation which was addressed initially with close reduction and secondarily, after re-dislocation,...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 14; no. 3; p. e23594
Main Authors Patousis, Athanasios, Sachinis, Nikolaos P, Yiannakopoulos, Christos, Givissis, Panagiotis
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 29.03.2022
Cureus
Subjects
Cardiac/Thoracic/Vascular Surgery
Case reports
Coronaviruses
COVID-19
Dissection
Injuries
Joint surgery
Magnetic resonance imaging
Medical imaging
Mortality
Orthopedics
Patients
Rotator cuff
Shoulder
Surgeons
Trauma
Veins & arteries
dislocation
axillary artery
open reduction
shoulder
chronic
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Summary:Injury of the axillary artery after open reduction of a chronic shoulder dislocation is a rare and life-threatening condition. We present a case of an elderly woman suffering from a chronic shoulder dislocation which was addressed initially with close reduction and secondarily, after re-dislocation, with open reduction. Intraoperatively axillary artery rupture was established. By-pass restoration with a saphenous vein graft successfully managed the complication. The humeral head was immobilized in the glenoid with temporary K-wires. A CT-angiography was performed on the first and second days postoperatively.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.23594