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Eur J Trauma Emerg Surg. 2009 Aug;35(4):417. doi: 10.1007/s00068-008-8117-6. Epub 2008 Dec 08.

Endovascular Treatment of an Axillary Pseudoaneurysm Following a Traumatic Shoulder Dislocation.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

Alexander Te Slaa, Dagmar Vos, Ge Geenen, Dennis Dolmans, Lijckle van der Laan

Affiliations

  1. Department of Surgery, Amphia Hospital, Breda, The Netherlands.
  2. Department of Radiology, Amphia Hospital, Breda, The Netherlands.
  3. Department of Surgery, Amphia Hospital, Breda, The Netherlands. [email protected].
  4. Department of Surgery, Amphia Hospital, Molengracht 21, 90158, 4800 RK, Breda, The Netherlands. [email protected].

PMID: 26815061 DOI: 10.1007/s00068-008-8117-6

Abstract

A pseudoaneurysm following a shoulder dislocation is considered rare. We report here a case of an 82-yearold man who suffered from vascular and neurological injury due to an axillary pseudoaneurysm following anterior dislocation of the left shoulder. An emerging swelling in the shoulder region was caused by a hematoma and a slowly bleeding pseudoaneurysm in combination with reactive swelling of the soft tissues. Neurological damage occurred due to local compression. A minimally invasive technique was used to treat the pseudoaneurysm. Embolization was initially attempted, but this treatment failed. A stent was subsequently inserted to eliminate the axillary pseudoaneurysm from the circulation. Early imaging and an aggressive endovascular treatment should be considered in all patients suffering from an axillary artery (pseudo)aneurysm.

Keywords: Pseudoaneurysm; Shoulder dislocation; Stenting; Trauma

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