Resumo
A case of a gunshot of the left axilary artery with a giant pseudoaneurism formation with sixteen years of evolution is presented. The 61- years-old male patient present since them a small assintomatic tumoration in infraclavicular localization. In the last eight months the tumor became symptomatic and volumous, reaching 20 cm in diameter, with signals of infection and imminent rupture. The patient was operated on with ligature of the axilary artery and evacuation of the pseudoaneurysm. The surgical handling and endovascular therapeutic options available in the present time are discussed. A short review about the disease as well as a bibliographic update are present. The authors also call attention for the necessity of a correct management of the vascular injures in the event of the first management.
Pseudoaneurysm; Aneurysm; Axilary artery
Pseudoaneurysm; Aneurysm; Axilary artery
RELATOS DE CASOS
Pseudo-aneurisma gigante de artéria axilar esquerda
Giant pseudoaneurysm of left axilary artery
Abdo Farret, TCBC-RNI; Dâmaso de Araújo ChaconII; Haroldo Amaral Duarte, RCBC-RNIII; Isabel Cristina Pinheiro de Almeida, RCBC-RNIII
ITitular da SBACV, Angiologista e Cirurgião Vascular do HUOL - UFRN
IIAngiologista e Professor Adjunto IV Coordenador do Departamento de Cirurgia do Centro de Ciências da Saúde da UFRN
IIIR2 de Cirurgia Geral do HUOL - UFRN
Endereço para correspondência Endereço para correspondência: Abdo Farret Neto Clínica Materna Av. Rodrigues Alves, 766 59020-200 - Tirol- Natal- RN Email: farret@eol.com.br
ABSTRACT
A case of a gunshot of the left axilary artery with a giant pseudoaneurism formation with sixteen years of evolution is presented. The 61- years-old male patient present since them a small assintomatic tumoration in infraclavicular localization. In the last eight months the tumor became symptomatic and volumous, reaching 20 cm in diameter, with signals of infection and imminent rupture. The patient was operated on with ligature of the axilary artery and evacuation of the pseudoaneurysm. The surgical handling and endovascular therapeutic options available in the present time are discussed. A short review about the disease as well as a bibliographic update are present. The authors also call attention for the necessity of a correct management of the vascular injures in the event of the first management.
Key words: Pseudoaneurysm; Aneurysm; Axilary artery.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Recebido em 25/4/97
Aceito para publicação em 7/8/97
Trabalho realizado no Hospital Universitário Onofre Lopes da UFRN- Natal- RN.
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- 2. Espinosa G, Parodi JC, Filippo R, et al. Endoprótese vascular recoberta (Stent graft) no tratamento das FAV traumáticas. Rev Angiol Cir Vasc 1996 abril/junho;5(2):63-67.
- 3. Stedeman HH, Carpenter JP, Shlansky-Goldberg RD. Percutaneos balloon catheter vascular control for infected axillary artery pseudo-aneurysm. J Cardiovasc Surg (Torino)1994 Dec;35(6): 529-31.
- 4. Hajarizadeh H, LaRosa CR, Cardullo P, et al. Ultrasound-guided compression of iatrogenic femoral pseudoaneurysm failure, recurrence, and long-term results. J Vasc Surg 1995 Oct;22(4):425-30.
- 5. Snyder WH III, Thal ER, Bridges RA, et al. The validity of normal arteriography in penetrating trauma. Arch Surg 1978;113:424.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
05 Ago 2010 -
Data do Fascículo
Fev 1998
Histórico
-
Aceito
07 Ago 1997 -
Recebido
25 Abr 1997
