Post-traumatic brachial artery aneurysm and arteriovenous fistulae

A case of penetrating metal fragment injury to the cubital fossa with subsequent development of a false aneurysm of the brachial artery with a fistulae to the vena comitans and median basilic vein is described. Surgical management involved aneurysmectomy, interposition cephalic vein graft and latera...

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Bibliographic Details
Published inJournal of cardiovascular surgery Vol. 29; no. 5; p. 570
Main Authors Loughlin, V, Beniwal, J S
Format Journal Article
LanguageEnglish
Published Italy 01.09.1988
Subjects
Adult
Aneurysm - diagnostic imaging
Aneurysm - etiology
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - etiology
Brachial Artery - injuries
Forearm - blood supply
Humans
Male
Radiography
Wounds, Penetrating - complications
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Summary:A case of penetrating metal fragment injury to the cubital fossa with subsequent development of a false aneurysm of the brachial artery with a fistulae to the vena comitans and median basilic vein is described. Surgical management involved aneurysmectomy, interposition cephalic vein graft and lateral repair of the vena comitans. Early angiography should be considered in penetrating injuries near major limb vessels, as the initial signs and symptoms of vascular injury may be minimal.
ISSN:0021-9509